Organization Active NPI

Henlopen Cardiology PA

  • Interventional Cardiology Physician
  • Seaford, DE
National Provider Identifier
1689607665
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C10001853 Issued in DE
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

Updated by the provider on Nov 6, 2007

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)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CB3761OtherRAILROAD MEDICARE
0001083602MedicaidDE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.