Active NPI
Delaware Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Dover, DE
National Provider Identifier
1851338677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- FSSC-009
- Legal business name
- DELAWARE SURGERY CENTER, LLC
- Practice address
- 200 Banning St
Suite 110
Dover, DE 19904-3485 - Phone
- (302) 346-4000
- Fax
- (302) 741-0451
- NPI assigned
- Jun 1, 2006
- 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
- Jennifer Anderson
- Title
- Ceo
- Phone
- (302) 736-3710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FSSC-009 | DE | Primary |
Addresses
Primary practice location
200 Banning St
Suite 110
Dover, DE 19904-3485
Mailing address
200 Banning St
Suite 110
Dover, DE 19904-3485
Phone (302) 346-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080918000160 | DE | Part B Supplier - Ambulatory Surgical Center | 6709953698 | Practice locations: Dover, DE |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Delaware Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Mount Holly, NJ
- NPI 1174529846
Member Of
Locations
200 Banning St
Ste 110
Dover, DE 19904
Phone (302) 346-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Dover, DE
- NPI 1245226828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1851338677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE 110",
"city": "DOVER",
"state": "DE",
"postal_code": "199043485",
"telephone_number": "302-346-4000",
"fax_number": "302-741-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BANNING ST",
"address_2": "SUITE 110",
"city": "DOVER",
"state": "DE",
"postal_code": "199043485",
"telephone_number": "302-346-4000",
"fax_number": "302-741-0451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "302-736-3710"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "DE",
"license": "FSSC-009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
- Delaware Podiatric Medicine PA
- Delaware Primary Care LLC
- Delaware Radiation Associates, PA
- Delaware Sleep Disorder Centers
- Delaware Sleep Disorder Centers, LLC
- Tylira Deleon
- Delmarva Emergency Physicians LLP
- Delmarva Orthotics and Prosthetics
- Delmarva Prosthodontics PA
- Delmarva Rural Ministries, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.