Organization Active NPI

Abigail Family Practice, LLC

  • Adult Medicine Physician
  • Newark, DE
National Provider Identifier
1669098836
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ABIGAIL FAMILY PRACTICE, LLC
Practice address
412 Suburban Dr
Newark, DE 19711-3564
Phone
(302) 738-3770
Fax
(302) 738-4749
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Luke Horah
Title
Office Manager
Phone
(443) 553-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

412 Suburban Dr
Newark, DE 19711-3564

Mailing address

PO Box 147
Newark, DE 19715-0147
Phone (302) 738-3770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1669098836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197150147",
            "telephone_number": "302-738-3770",
            "fax_number": "302-738-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SUBURBAN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113564",
            "telephone_number": "302-738-3770",
            "fax_number": "302-738-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "HORAH",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "443-553-6114"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 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.