Organization Active NPI

Camden Primary Care L.L.C.

  • Primary Care Clinic/Center
  • Dover, DE
National Provider Identifier
1851796916
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2014606439 Issued in DE
Legal business name
CAMDEN PRIMARY CARE L.L.C.
Practice address
4601 S Dupont Hwy
Suite 2
Dover, DE 19901-6405
Phone
(302) 698-1100
NPI assigned
Oct 30, 2014
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Mr. John Thomas Pearson, FNPNPI 1962400655
Title
Family Nurse Practitioner
Phone
(302) 698-1100

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
Primary Care Clinic/Center 261QP2300X 2014606439 DE Primary

Addresses

Primary practice location

4601 S Dupont Hwy
Suite 2
Dover, DE 19901-6405

Mailing address

4601 S Dupont Hwy
Suite 2
Dover, DE 19901-6405
Phone (302) 698-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150130000905 DE Part B Supplier - Clinic/Group Practice 0143544783 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2091381Camden Primary Care4601 S Dupont Hwy Suite 2, Dover, DE 19901Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Locations

4601 S DuPont Hwy
Ste 2
Dover, DE 19901
Phone (302) 678-1100

4601 S DuPont Hwy
Ste 4
Dover, DE 19901

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJJCA

Practitioners & affiliated clinicians

Practitioners 2

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1851796916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S DUPONT HWY",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016405",
            "telephone_number": "302-698-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S DUPONT HWY",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016405",
            "telephone_number": "302-698-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN PRIMARY CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "302-698-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DE",
            "license": "2014606439",
            "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 Sep 14, 2015; 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.

Verify at the official NPI Registry.