Individual provider Active NPI

Adriana Maria Navas, DO

  • Addiction Medicine (Family Medicine) Physician
  • Wilmington, DE
National Provider Identifier
1790063378
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
C2-0023991 Issued in DE
Practice address
2713 Lancaster Ave
Wilmington, DE 19805-5220
Phone
(302) 656-2348
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016775 PA
Student in an Organized Health Care Education/Training Program 390200000X FD0180442-32 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X C2-0023991 DE Primary

Addresses

Primary practice location

2713 Lancaster Ave
Wilmington, DE 19805-5220

Mailing address

2713 Lancaster Ave
Wilmington, DE 19805-5220
Phone (302) 656-2348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710001883 PA Practitioner - Family Practice 7416269923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0023991DEMDAddiction Medicine (Family Medicine) Physician
FD0180442-32OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Parkside Recovery CurrentSince Mar 1, 2019 Accepting new patients
Merakey Parkside Recovery Current Accepting new patients
Merakey Parkside Recovery CurrentSince Mar 1, 2019 Accepting new patients

Locations

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

11082 Knights Rd
Philadelphia, PA 19154
Phone (215) 632-9040

5000 Parkside Ave
Philadelphia, PA 19131
Phone (215) 879-6116

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1790063378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055220",
            "telephone_number": "302-656-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055220",
            "telephone_number": "302-656-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAS",
        "first_name": "ADRIANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016775",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "FD0180442-32",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "DE",
            "license": "C2-0023991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.