Endocrinology Consultant PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

C1-0005520 Issued in DE

Legal business name

ENDOCRINOLOGY CONSULTANT PA

Practice address

9 E Loockerman St
Suite a
Dover, DE 19901-8306

Phone

(302) 734-2782

Fax

(302) 734-2784

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy L Reynolds

Title

Client Manager

Phone

(302) 855-9099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDCJBA

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.

• Manveen Duggal, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dover, DE
  • NPI 1538102686
  Medicare reassignment NPD
• Jincy John, DNP

  • Nurse Practitioner
  • Feasterville Trevose, PA
  • NPI 1477202026

  DE

  Medicare reassignment

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659488468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST",
            "address_2": "SUITE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018306",
            "telephone_number": "302-734-2782",
            "fax_number": "302-734-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E LOOCKERMAN ST",
            "address_2": "SUITE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199018306",
            "telephone_number": "302-734-2782",
            "fax_number": "302-734-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY CONSULTANT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLIENT MANAGER",
        "authorized_official_telephone_number": "302-855-9099"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0005520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Dover, DE
• Providers in Dover, DE by specialty
• Endocrinology, Diabetes & Metabolism Physician in Delaware

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.