Organization Active NPI

Delaware Pediatrics

  • Pediatrics Physician
  • Townsend, DE
National Provider Identifier
1649323577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2004205034 Issued in DE
Legal business name
DELAWARE PEDIATRICS
Practice address
3171 Dupont Pkwy
Townsend, DE 19734-9780
Phone
(302) 449-2572
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Diana Lambeth
Title
Office Manager
Phone
(302) 449-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2004205034 DE Primary

Addresses

Primary practice location

3171 Dupont Pkwy
Townsend, DE 19734-9780

Mailing address

1202 Foulk Rd
Wilmington, DE 19803-2796
Phone (302) 449-2572

Other identifiers 2

IdentifierTypeStateIssuer
1000024029MedicaidDE
0000572701MedicaidDE

National Provider Directory

National Provider Directory
Tax ID family
Delaware Pediatrics2 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.

Locations

3171 DuPont Pkwy
Townsend, DE 19734
Phone (302) 449-2570

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649323577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032796",
            "telephone_number": "302-449-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 DUPONT PKWY",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349780",
            "telephone_number": "302-449-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMBETH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-449-2572"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "2004205034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024029",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000572701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, 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.