Active NPI
Atlantic Adult and Pediatric Medicine, PA
- Family Medicine Physician
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ATLANTIC ADULT AND PEDIATRIC MEDICINE, PA
- Practice address
- 34435 King Street Row Ste 1
Lewes, DE 19958-4787 - Phone
- (302) 644-1300
- Fax
- (302) 644-1086
- NPI assigned
- Dec 15, 2006
- Last updated
- Dec 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Stanislav, M.D
- Title
- Physician
- Phone
- (302) 644-1085
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
34435 King Street Row Ste 1
Lewes, DE 19958-4787
Mailing address
34435 King Street Row Ste 1
Lewes, DE 19958-4787
Phone (302) 644-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
34435 King Street Row
Lewes, DE 19958
Phone (302) 644-1300
34435 King Street Row
#1
Lewes, DE 19958
Phone (302) 360-0142
Interoperability endpoints
- https://api.platform.athenahealth.com/21915/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Georgetown, DE
- NPI 1548449754
-
- Family Medicine Physician
- Lewes, DE
- NPI 1912256512
-
- Physician Assistant
- Lewes, DE
- NPI 1215521299
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1720067747
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1386699122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322697600000",
"number": "1801958863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34435 KING STREET ROW STE 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199584787",
"telephone_number": "302-644-1300",
"fax_number": "302-644-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34435 KING STREET ROW STE 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199584787",
"telephone_number": "302-644-1300",
"fax_number": "302-644-1086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC ADULT AND PEDIATRIC MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2011-12-01",
"status": "A",
"authorized_official_last_name": "STANISLAV",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "302-644-1085",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.