NPIMap

Individual provider Active NPI

Imelyn F Lahey, M.D.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1780999300
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0012418 Issued in DE
Practice address
620 Stanton Christiana Rd Ste 305
Newark, DE 19713-2135
Phone
(302) 999-8830
Fax
(302) 633-1375
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0012418 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd Ste 305
Newark, DE 19713-2135

Mailing address

1400 Peoples PLZ Ste 305
Newark, DE 19702-5708
Phone (302) 838-2210

Other practice location 1

129 N DuPont Hwy
New Castle, DE 19720-3135
Phone (302) 328-5150

Other practice location 2

1400 Peoples Plz Ste 305
Newark, DE 19702-5708
Phone (302) 838-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122001167 DE Practitioner - Family Practice 0648401067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diamond State Primary Care, LLCGroup PAC ID 3870904931, 2 clinicians

Practice addresses (Care Compare)

1400 Peoples PLZ
Suite 305
Newark, DE 19702-5708
Phone (302) 838-2210

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seth L Ivins MD LLC CurrentSince Aug 1, 2019 Accepting new patients
Diamond State Primary Care, LLC Family Medicine CurrentSince Nov 11, 2020 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Past Accepting new patients

Locations

129 N DuPont Hwy
New Castle, DE 19720
Phone (302) 328-5150

1400 Peoples Plz
Ste 305
Newark, DE 19702
Phone (302) 838-2210

620 Stanton Christiana Rd
Ste 305
Newark, DE 19713
Phone (302) 999-0144

1415 Foulk Rd
Wilmington, DE 19803
Phone (302) 999-8830

Interoperability endpoints

  • Direct secure messaging: imelyn.lahey@3701.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1780999300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025708",
            "telephone_number": "302-838-2210",
            "fax_number": "302-838-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132135",
            "telephone_number": "302-999-8830",
            "fax_number": "302-633-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N DuPont Hwy",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197203135",
            "country_code": "US",
            "telephone_number": "302-328-5150",
            "fax_number": "302-328-5286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Peoples Plz Ste 305",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197025708",
            "country_code": "US",
            "telephone_number": "302-838-2210",
            "fax_number": "302-838-2129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHEY",
        "first_name": "IMELYN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0012418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.