Active NPI
Tristate Cardiovascular Institute
- Cardiovascular Disease Physician
- Wilmington, DE
National Provider Identifier
1588771992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C10004005
- Legal business name
- TRISTATE CARDIOVASCULAR INSTITUTE
- Practice address
- 2401 Pennsylvania Ave
Suite 101
Wilmington, DE 19806-1401 - Phone
- (302) 777-1103
- Fax
- (302) 777-1113
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamar Tayo Adeleke, M.D., F.A.C.C.
- Title
- President
- Phone
- (302) 777-1103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C10004005 | DE | Primary |
Addresses
Primary practice location
2401 Pennsylvania Ave
Suite 101
Wilmington, DE 19806-1401
Mailing address
2401 Pennsylvania Ave
Suite 101
Wilmington, DE 19806-1401
Phone (302) 777-1103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000867901 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
614 Ferry Cut Off St
Historic New Castle, DE 19720
Phone (302) 322-9831
702 E Basin Rd
Ste 3
New Castle, DE 19720
Phone (301) 322-9831
701 N Clayton St
#506
Wilmington, DE 19805
Phone (302) 654-1228
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Merrillville, IN
- NPI 1689673683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588771992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 PENNSYLVANIA AVE",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061401",
"telephone_number": "302-777-1103",
"fax_number": "302-777-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 PENNSYLVANIA AVE",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061401",
"telephone_number": "302-777-1103",
"fax_number": "302-777-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTATE CARDIOVASCULAR INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADELEKE",
"authorized_official_first_name": "KAMAR",
"authorized_official_middle_name": "TAYO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-777-1103",
"authorized_official_credential": "M.D., F.A.C.C."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DE",
"license": "C10004005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000867901",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Imran Trimzi, MD
- Trinity Emotional Resilience Services LLC
- Trinity Healing & Wellness Center, Inc.
- Trinity Medical Associates PA
- Joan Triplett, LPN
- Tristate Foot and Ankle Center, LLC
- Tristate Human Services
- Tristate Interventional Pain and Wellness Center LLC
- Sixto Rey Troche Sr., CADC
- Marta Sharon Troiani, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.