NPIMap

Organization Active NPI

Comprehensive Neurology Center of Delaware

Doing business as CNCD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Newark, DE
National Provider Identifier
1639375009
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
C1-0004626 Issued in DE
Legal business name
COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE
Doing business as
CNCD
Practice address
1423 Capitol TRL Ste 1114
Newark, DE 19711-5709
Phone
(302) 996-9010
Fax
(302) 996-9027
NPI assigned
Jun 22, 2007
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Carl R Yacoub, M.D.NPI 1386651099
Title
Director
Phone
(302) 996-5457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X C1-0004626 DE Primary

Addresses

Primary practice location

1423 Capitol TRL Ste 1114
Newark, DE 19711-5709

Mailing address

1423 Capitol TRL Ste 1114
Newark, DE 19711-5709
Phone (302) 996-9010

Other names 1

  • CNCD Doing business as

National Provider Directory

National Provider Directory

Locations

550 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 996-9010

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1639375009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-996-9010",
            "fax_number": "302-996-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-996-9010",
            "fax_number": "302-996-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-996-5457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DE",
            "license": "C1-0004626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNCD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CNCD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2023; 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.