Active NPI
Avnish Dhamija, MD
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0012061
- Practice address
- 4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- NPI assigned
- Apr 1, 2014
- Last updated
- Sep 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0012061 | DE | Primary |
| Hospitalist Physician | 208M00000X | C1-0012061 | DE |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Mailing address
200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
Phone (412) 623-2465
Other practice location 1
1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 705-4754
Other practice location 2
30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients |
Locations
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1538587100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "412-623-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450052584",
"country_code": "US",
"telephone_number": "513-705-4754",
"fax_number": "513-420-5156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 E Apple St Ste Nw3300",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092939",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHAMIJA",
"first_name": "AVNISH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012061",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "DE",
"license": "C1-0012061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.