NPIMap

Organization Active NPI

Rebecca Jaffe and Associates PA

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1871588780
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
975464163 Issued in DE
Legal business name
REBECCA JAFFE AND ASSOCIATES PA
Practice address
3105 Limestone Rd Ste 301
Wilmington, DE 19808-2156
Phone
(302) 992-0200
Fax
(302) 992-9282
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Mrs. Karen L Hill
Title
Office/Billing Supervisor
Phone
(302) 992-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 975464163 DE Primary

Addresses

Primary practice location

3105 Limestone Rd Ste 301
Wilmington, DE 19808-2156

Mailing address

3105 Limestone Rd Ste 301
Wilmington, DE 19808-2156
Phone (302) 992-0200

Other identifiers 3

IdentifierTypeStateIssuer
510279425OtherDEBLUE CROSS BLUE SHIELD DE
0000210202MedicaidDE
78517OtherDEAETNA US HEALTHCARE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16689/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1871588780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082156",
            "telephone_number": "302-992-0200",
            "fax_number": "302-992-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD STE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082156",
            "telephone_number": "302-992-0200",
            "fax_number": "302-992-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA JAFFE AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE/BILLING SUPERVISOR",
        "authorized_official_telephone_number": "302-992-0200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "975464163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD DE",
            "identifier": "510279425",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000210202",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "78517",
            "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 May 24, 2022; 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.