Active NPI
Henlopen Cardiology PA
- Interventional Cardiology Physician
- Seaford, DE
National Provider Identifier
1689607665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- C10001853
- Legal business name
- HENLOPEN CARDIOLOGY PA
- Practice address
- 123 Pennsylvania Ave
Seaford, DE 19973-3829 - Phone
- (302) 628-2687
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nasi Bolourchi
- Title
- Office Manager
- Phone
- (302) 645-7672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | C10001853 | DE | Primary |
Addresses
Primary practice location
123 Pennsylvania Ave
Seaford, DE 19973-3829
Mailing address
18958 Coastal Hwy
Rehoboth Beach, DE 19971-9791
Phone (302) 645-7672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB3761 | Other | RAILROAD MEDICARE | |
| 0001083602 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
32566 Docs Pl
Unit 3
Millville, DE 19967
Phone (302) 537-9989
18958 Coastal Hwy
Rehoboth Beach, DE 19971
Phone (302) 628-2687
123 Pennsylvania Ave
Seaford, DE 19973
Phone (302) 628-2687
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Rehobeth Beach, DE
- NPI 1326016858
-
- Cardiovascular Disease Physician
- Rehoboth Beach, DE
- NPI 1700016169
-
- Family Medicine Physician
- Ocean View, DE
- NPI 1851380364
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1669440194
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1528128865
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1699879098
-
- Cardiovascular Disease Physician
- Orchard Park, NY
- NPI 1407830565
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1013941590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1689607665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18958 COASTAL HWY",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199719791",
"telephone_number": "302-645-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 PENNSYLVANIA AVE",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733829",
"telephone_number": "302-628-2687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENLOPEN CARDIOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "BOLOURCHI",
"authorized_official_first_name": "NASI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "302-645-7672"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "DE",
"license": "C10001853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB3761",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001083602",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.