Organization Active NPI

Kent Pulmonary Associates

  • Pulmonary Disease Physician
  • Dover, DE
National Provider Identifier
1801801675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C1-0005844 Issued in DE
Legal business name
KENT PULMONARY ASSOCIATES
Practice address
938 S Bradford St
Suite B
Dover, DE 19904-4140
Phone
(302) 674-7155
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David A Jawahar, M.D.NPI 1306828330
Title
Ownerphysician
Phone
(302) 674-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X C1-0005844 DE Primary

Addresses

Primary practice location

938 S Bradford St
Suite B
Dover, DE 19904-4140

Mailing address

938 S Bradford St
Suite B
Dover, DE 19904-4140
Phone (302) 674-7155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000219 DE Part B Supplier - Clinic/Group Practice 8921018334 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, DE; Milford, DE; Smyrna, DE

National Provider Directory

National Provider Directory

Locations

938 S Bradford St
Ste B
Dover, DE 19904
Phone (302) 674-7155

807 S Bradford St
Dover, DE 19904
Phone (302) 674-4070

114 Sandhill Dr
Ste 201B
Middletown, DE 19709
Phone (302) 449-9660

207 N Main St
Smyrna, DE 19977
Phone (302) 674-7155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801801675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 S BRADFORD ST",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044140",
            "telephone_number": "302-674-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 S BRADFORD ST",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044140",
            "telephone_number": "302-674-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAWAHAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "302-674-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C1-0005844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.