NPIMap

Organization Active NPI

Omega Medical Center, LLC

  • Occupational Medicine Physician
  • Newark, DE
National Provider Identifier
1548488679
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
1998209493 Issued in DE
Legal business name
OMEGA MEDICAL CENTER, LLC
Practice address
15 Omega Dr BLDG K
Newark, DE 19713-2057
Phone
(302) 368-5100
Fax
(302) 266-6369
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mrs. Deirdre O'Connell
Title
C.E.O.
Phone
(302) 368-5100

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 1998209493 DE Primary
Physical Therapy Clinic/Center 261QP2000X 1998209493 DE
Radiology Clinic/Center 261QR0200X 1998209493 DE
Rehabilitation Clinic/Center 261QR0400X 1998209493 DE
Occupational Medicine Clinic/Center 261QX0100X 1998209493 DE

Addresses

Primary practice location

15 Omega Dr BLDG K
Newark, DE 19713-2057

Mailing address

15 Omega Dr BLDG K
Newark, DE 19713-2057
Phone (302) 368-5100

Other names 1

  • Omega Medical Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1548488679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR BLDG K",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-368-5100",
            "fax_number": "302-266-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR BLDG K",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-368-5100",
            "fax_number": "302-266-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "302-368-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "DE",
            "license": "1998209493",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DE",
            "license": "1998209493",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "DE",
            "license": "1998209493",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "DE",
            "license": "1998209493",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "DE",
            "license": "1998209493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.