Organization Active NPI

Reproductive Associates of Delaware

  • Reproductive Endocrinology Physician
  • Newark, DE
National Provider Identifier
1710017017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
REPRODUCTIVE ASSOCIATES OF DELAWARE
Practice address
4735 Ogletown Stanton Rd
Suite 3217
Newark, DE 19713-2072
Phone
(302) 623-4242
Fax
(302) 623-4241
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marc Portmann
Title
Practice Administrator
Phone
(302) 623-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Suite 3217
Newark, DE 19713-2072

Mailing address

4735 Ogletown Stanton Rd
Suite 3217
Newark, DE 19713-2072
Phone (302) 623-4242

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0908201Reproductive Associates of Delaware, LLC4735 Ogletown-Stanton Road Map 2 Suite 3217, Newark, DE 19713AccreditationFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

200 Banning St
Ste 240
Dover, DE 19904

2700 Silverside Rd
Ste 2A
Wilmington, DE 19810
Phone (302) 214-9212

822 Pine St
Ste 4B
Philadelphia, PA 19107
Phone (215) 829-5757

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710017017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "SUITE 3217",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-623-4242",
            "fax_number": "302-623-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "SUITE 3217",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-623-4242",
            "fax_number": "302-623-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRODUCTIVE ASSOCIATES OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTMANN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "302-623-4230"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DE",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.