Individual provider Active NPI

John B Kaburia, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
National Provider Identifier
1518533306
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010223 Issued in DE
Practice address
642 South Queen Street
Ste 102
Dover, DE 19904-3506
Phone
(800) 818-8680
Fax
(800) 818-8680
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024207 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010223 DE Primary

Addresses

Primary practice location

642 South Queen Street
Ste 102
Dover, DE 19904-3506

Mailing address

1000 Midway Dr Ste 3
Harrington, DE 19952-2448
Phone (800) 818-8680

Other practice location 1

1340 Middleford Road
Ste 401
Seaford, DE 19973-3665
Phone (800) 818-8680

Other practice location 2

150 S Warner Rd Ste 130
King Of Prussia, PA 19406-2830
Phone (610) 400-4885

Other practice location 3

29787 John J Williams Highway, Unit #8
Millsboro, DE 19966-1996
Phone (717) 691-6768

Other practice location 4

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188
Phone (302) 224-1400

Other practice location 5

1000 Midway Drive
Ste 3
Harrington, DE 19952-1995
Phone (800) 818-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210615003267 DE Practitioner - Nurse Practitioner 9537569389 Reassigns benefits to 3 organizations
I20211018000596 PA Practitioner - Nurse Practitioner 9537569389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Koftown Medical Center LLCGroup PAC ID 1355734401, 2 clinicians
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians
Alpha Care Medical LLCGroup PAC ID 8527344548, 6 clinicians

Practice addresses (Care Compare)

108 Patriot Dr
Suite a
Middletown, DE 19709-8803
Phone (302) 898-9669

24077 Country Living Rd
Suite 2
Millsboro, DE 19966-3188
Phone (302) 224-1400

642 S Queen St
Suite 102
Dover, DE 19904-3506
Phone (800) 818-8680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Koftown Medical Center LLC Psychiatric/Mental Health CurrentSince May 20, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Alpha Care Medical, LLC CurrentSince Jun 14, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Jun 1, 2026 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients

Locations

642 S Queen St
Ste 102
Dover, DE 19904
Phone (800) 818-8680

1000 Midway Dr
Ste 3
Harrington, DE 19952
Phone (800) 818-8680

108 Patriot Dr
Ste A
Middletown, DE 19709
Phone (302) 291-3063

29787 John J Williams Hwy
Unit 8
Millsboro, DE 19966
Phone (800) 818-8680

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

1340 Middleford Rd
Ste 401
Seaford, DE 19973
Phone (302) 628-7752

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 407
Chester, PA 19013
Phone (610) 619-7413

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1518533306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY DR STE 3",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522448",
            "telephone_number": "800-818-8680",
            "fax_number": "800-818-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 SOUTH QUEEN STREET",
            "address_2": "STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043506",
            "telephone_number": "800-818-8680",
            "fax_number": "800-818-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Middleford Road",
            "address_2": "Ste 401",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733665",
            "country_code": "US",
            "telephone_number": "800-818-8680",
            "fax_number": "800-818-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Warner Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062830",
            "country_code": "US",
            "telephone_number": "610-400-4885",
            "fax_number": "610-273-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29787 JOHN J WILLIAMS HIGHWAY, UNIT #8",
            "address_purpose": "LOCATION",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661996",
            "country_code": "US",
            "telephone_number": "717-691-6768",
            "fax_number": "800-818-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24077 Country Living Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199663188",
            "country_code": "US",
            "telephone_number": "302-224-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Midway Drive",
            "address_2": "Ste 3",
            "address_purpose": "LOCATION",
            "city": "Harrington",
            "state": "DE",
            "postal_code": "199521995",
            "country_code": "US",
            "telephone_number": "800-818-8680",
            "fax_number": "800-818-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABURIA",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024207",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.