Organization Active NPI

Delaware Medical Group

  • Clinic/Center
  • Smyrna, DE
National Provider Identifier
1558677153
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
C10009459 Issued in DE
Legal business name
DELAWARE MEDICAL GROUP
Practice address
51 Deak Drive
Smyrna, DE 19977
Phone
(302) 653-1281
NPI assigned
Aug 20, 2010
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Islam AljunaidiNPI 1891740866
Title
Chairman
Phone
(302) 653-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X C10009459 DE Primary

Addresses

Primary practice location

51 Deak Drive
Smyrna, DE 19977

Mailing address

51 Deak Drive
Smyrna, DE 19977
Phone (302) 653-1281

National Provider Directory

National Provider Directory
Tax ID family
Delaware Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1558677153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 DEAK DRIVE",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEAK DRIVE",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "ALJUNAIDI",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "302-653-1281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DE",
            "license": "C10009459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.