Active NPI
Diagnostic Medical Services Inc.
- Sonography Radiologic Technologist
- Newark, DE
National Provider Identifier
1689618951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 1989025931
- Legal business name
- DIAGNOSTIC MEDICAL SERVICES INC.
- Practice address
- 25 S Old Baltimore Pike
Suite 104
Newark, DE 19702-1540 - Phone
- (302) 292-2700
- Fax
- (302) 292-2702
- NPI assigned
- Jun 16, 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
- Mr. John J Gray III, RDMS
- Title
- President
- Phone
- (302) 292-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 1989025931 | DE | Primary |
Addresses
Primary practice location
25 S Old Baltimore Pike
Suite 104
Newark, DE 19702-1540
Mailing address
25 S Old Baltimore Pike
Suite 104
Newark, DE 19702-1540
Phone (302) 292-2700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000197322 | Other | PA | HIGHMARK BLUE SHIELD |
| 0000563702 | Medicaid | DE | |
| 0091836000 | Other | PA | PERSONAL CHOICE BLUE SHIE |
National Provider Directory
National Provider DirectoryLocations
25 S Old Baltimore Pike
#10
Newark, DE 19702
25 S Old Baltimore Pike
Ste 104
Newark, DE 19702
Phone (302) 292-2700
400 S Cross St
Ste 1
Chestertown, MD 21620
Phone (410) 778-0088
9 Union Ave
Bala Cynwyd, PA 19004
Phone (302) 239-7700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1730171950
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1376535997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1689618951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 S OLD BALTIMORE PIKE",
"address_2": "SUITE 104",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021540",
"telephone_number": "302-292-2700",
"fax_number": "302-292-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S OLD BALTIMORE PIKE",
"address_2": "SUITE 104",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021540",
"telephone_number": "302-292-2700",
"fax_number": "302-292-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC MEDICAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-292-2700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "RDMS"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "DE",
"license": "1989025931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000197322",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000563702",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE BLUE SHIE",
"identifier": "0091836000",
"state": "PA"
}
],
"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 Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.