Friends & Family Practice, PA
Organization Active NPI Family Medicine Physician · Millville, DE
NPI 1790878049 · NPPES record last updated May 8, 2013
Key facts
- NPI
- 1790878049
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2001107039 (DE)
- Legal business name
- FRIENDS & FAMILY PRACTICE, PA
- Practice address
- 35141 Atlantic Ave
Unit 1
Millville, DE 19967-6954 - Phone
- (302) 537-3740
- Fax
- (302) 537-3744
- NPI assigned
- Oct 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Kimberly Gallagher, M.D,
- Title
- Owner
- Phone
- (302) 537-3740
Practitioners 2
-
Amanda Kathryn Marr, N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D0992213 | Friends & Family Practice, PA | Provider-performed microscopy | May 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040804000145 | DE | Part B Supplier - Clinic/Group Practice | 9234100173 |
Receives reassigned benefits from 2 practitioners Practice locations: Millville, DE |
National Provider Directory
Locations
35141 Atlantic Ave
Unit 1
Millville, DE 19967
Phone (302) 537-3740
96 Atlantic Ave
Ocean View, DE 19970
Phone (302) 537-3740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 2001107039 | DE | Yes |
Addresses
Primary practice location
35141 Atlantic Ave
Unit 1
Millville, DE 19967-6954
Mailing address
35141 Atlantic Ave
Unit 1
Millville, DE 19967-6954
Phone (302) 537-3740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF7727 | Other | DE | RAILROAD MEDICARE |
Other providers in Millville, DE
- Ralph Joseph Defriece
- Kris Everhart
- Fairway Hearing Center L.L.C.
- Nicole E Fell
- Bryan Ford
- Kimberly Mazzei Gallagher
- Sherry Gates
- Giant of Maryland LLC
- Natalie Lynn Hall
- Halpern Eye Associates, P. a.
All providers in Millville, DE · Family Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.