First State Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10006064 Issued in DE

Legal business name

FIRST STATE MEDICAL ASSOCIATES

Practice address

2055 Limestone Rd
Ste 111
Wilmington, DE 19808-5536

Phone

(302) 565-4616

Fax

(302) 565-4617

NPI assigned

Mar 7, 2007

Last updated

Mar 7, 2018By 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

Dr. Jose Marciano Castro, M.D.

Title

President

Phone

(302) 999-8169

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Franklin Ampadu, M.D.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1245236843
  Medicare reassignment Care Compare group NPD
• Jose Marciano Castro, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1083792352
  Medicare reassignment Care Compare group NPD
• Marcia Gina C Castro, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1407934789
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1699806257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197075137",
            "telephone_number": "302-565-4616",
            "fax_number": "302-565-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "STE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-565-4616",
            "fax_number": "302-565-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARCIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-999-8169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10006064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699806257",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First State Employment Services
• First State Endodontics, LLC
• First State Foot & Ankle, LLC
• First State Home Care LLC
• First State Infectious Disease Specialists LLC
• First State Medical PA
• First State Montessori
• First State Nutrition LLC
• First State Orthopaedics PA
• First State Orthopaedics PA (Rise Physical Therapy)

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.