Organization Active NPI

Tristate Cardiovascular Institute

  • Cardiovascular Disease Physician
  • Wilmington, DE
National Provider Identifier
1588771992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10004005 Issued in DE
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0000867901MedicaidDE

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.