Active NPI
Justin Hardy
- Surgical Assistant
- Dover, DE
National Provider Identifier
1558242883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 100238423
- Practice address
- 7 Riverside Rd
Dover, DE 19904-5722 - Phone
- (443) 621-7214
- NPI assigned
- Sep 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 100238423 | DE | Primary |
Addresses
Primary practice location
7 Riverside Rd
Dover, DE 19904-5722
Mailing address
7 Riverside Rd
Dover, DE 19904-5722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100238423 | DE | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1558242883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 RIVERSIDE RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199045722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 RIVERSIDE RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199045722",
"telephone_number": "443-621-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "DE",
"license": "100238423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.