Organization Active NPI

Doctors for Emergency Service

  • Emergency Medicine Physician
  • Newark, DE
National Provider Identifier
1750369674
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DOCTORS FOR EMERGENCY SERVICE
Practice address
4755 Ogletown Stanton Road
Newark, DE 19718
Phone
(302) 733-1000
Fax
(302) 733-1633
NPI assigned
Jan 3, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Leonard A Nitowski, M.D.NPI 1386622108
Title
President
Phone
(302) 224-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

4755 Ogletown Stanton Road
Newark, DE 19718

Mailing address

PO Box 3048
Wilmington, DE 19804
Phone (302) 224-5678

Other identifiers 2

IdentifierTypeStateIssuer
3769402MedicaidNJ
0011184620001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210625000768 MD Part B Supplier - Clinic/Group Practice 0648160341 Receives reassigned benefits from 81 practitioners
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory

Locations

5217 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-2345

Practitioners & affiliated clinicians

Practitioners 187

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.

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1750369674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3048",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19804",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-1000",
            "fax_number": "302-733-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS FOR EMERGENCY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "NITOWSKI",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-224-5678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3769402",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011184620001",
            "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 Sep 18, 2007; 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.