Organization Active NPI

MB Medical Services LLC

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1821050261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MB MEDICAL SERVICES LLC
Practice address
2601 Annand Dr
Wilmington, DE 19808-3719
Phone
(302) 995-6192
Fax
(302) 998-8076
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Misael Marquez, M.D.
Title
Partner
Phone
(302) 995-6192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2601 Annand Dr
Wilmington, DE 19808-3719

Mailing address

1602 Newport Gap Pike
Wilmington, DE 19808-6208
Phone (302) 633-5840

Other identifiers 1

IdentifierTypeStateIssuer
1000025905MedicaidDE

National Provider Directory

National Provider Directory

Locations

2601 Annand Dr
Wilmington, DE 19808
Phone (302) 234-5800

2601 Annand Dr
Ste 13
Wilmington, DE 19808
Phone (302) 995-6192

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821050261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086208",
            "telephone_number": "302-633-5840",
            "fax_number": "302-633-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-995-6192",
            "fax_number": "302-998-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "MISAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-995-6192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025905",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.