Active NPI
Jerald Eng, M.D.
- Pediatrics Physician
- Wilmington, DE
National Provider Identifier
1801807706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C10002410
- Practice address
- 3521 Silverside Rd
1F Quillen BLDG.
Wilmington, DE 19810-4900 - Phone
- (302) 478-4845
- Fax
- (302) 478-2637
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10002410 | DE | Primary |
Addresses
Primary practice location
3521 Silverside Rd
1F Quillen BLDG.
Wilmington, DE 19810-4900
Mailing address
3521 Silverside Rd
1F Quillen BLDG.
Wilmington, DE 19810-4900
Phone (302) 478-4845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000061801 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10002410 | DE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801807706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 SILVERSIDE RD",
"address_2": "1F QUILLEN BLDG.",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104900",
"telephone_number": "302-478-4845",
"fax_number": "302-478-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 SILVERSIDE RD",
"address_2": "1F QUILLEN BLDG.",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104900",
"telephone_number": "302-478-4845",
"fax_number": "302-478-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "JERALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10002410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000061801",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.