Sussex Pulmonary and Endocrine Consultants, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C10006856 Issued in DE

Legal business name

SUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA

Doing business as

Sussex PEC

Practice address

18947 John J Williams Hwy Unit 305
Beebe Health Campus, Medical Arts Center
Rehoboth Beach, DE 19971-4477

Phone

(302) 644-7201

Fax

(302) 644-7218

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Reetu Singh, MDNPI 1275534737

Title

Vice President

Phone

(302) 249-9970

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Sussex PEC Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHBGAA

Practitioners 6

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.

• Reetu Singh, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lewes, DE
  • NPI 1275534737
  Medicare reassignment Care Compare group NPD Authorized official
• Vikas Batra, M.D.

  • Pulmonary Disease Physician
  • Lewes, DE
  • NPI 1508804907

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Caryn Brown Chasanov, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
  • NPI 1992021687
  Medicare reassignment Care Compare group NPD
• Zouhair Faouzi Harb, MD

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1932226164

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Edda E Didonato, FAMILY NP

  • Nurse Practitioner
  • Georgetown, DE
  • NPI 1306253281
  Medicare reassignment NPD
• Christina Elizabeth Phelan-Bajana, FNP-BC

  • Nurse Practitioner
  • Dover, DE
  • NPI 1619529450
  Medicare reassignment NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1730355678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21505 WILLOW LN",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586034",
            "telephone_number": "302-947-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 305",
            "address_2": "BEEBE HEALTH CAMPUS, MEDICAL ARTS CENTER",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714477",
            "telephone_number": "302-644-7201",
            "fax_number": "302-644-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "REETU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "302-249-9970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DE",
            "license": "C10006856",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C10006874",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C10006856",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "DE",
            "license": "C10006856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035976",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sussex PEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam M Stumer, OD
• Sturges Dodge, LCSW, P.a.
• Kara Ann Sullivan, LPCMH
• Susan Lee Sullivan, RPH
• Sussex Medical Supplies
• Samuel D Swisher-McClure, MD
• Christina Sykes, CNM
• Jay C. Taylor II, O.D.
• Melissa Ann Taylor, NP
• Terry McCandies PHD

• Pulmonary Disease Physician in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pulmonary Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.