Active NPI
Delaware Dermatological Medicine, Inc.
- Procedural Dermatology Physician
- Wilmington, DE
National Provider Identifier
1881615011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- DELAWARE DERMATOLOGICAL MEDICINE, INC.
- Practice address
- 14 Alders LN
Wilmington, DE 19807-3050 - Phone
- (302) 888-1577
- NPI assigned
- Jul 22, 2006
- Last updated
- Aug 22, 2020
- 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
- Ben Bansal
- Title
- Bus. MGR
- Phone
- (302) 888-1577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
14 Alders LN
Wilmington, DE 19807-3050
Mailing address
14 Alders LN
Wilmington, DE 19807-3050
Phone (302) 888-1577
National Provider Directory
National Provider DirectoryLocations
2300 Pennsylvania Ave
Ste 4C
Wilmington, DE 19806
Phone (302) 658-4270
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.
-
- Procedural Dermatology Physician
- Wilmington, DE
- NPI 1982620555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881615011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ALDERS LN",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198073050",
"telephone_number": "302-888-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ALDERS LN",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198073050",
"telephone_number": "302-888-1577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE DERMATOLOGICAL MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BANSAL",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "BUS. MGR",
"authorized_official_telephone_number": "302-888-1577"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Delaware CVS Pharmacy, L.L.C. (CVS Pharmacy# 00088)
- Delaware CVS Pharmacy, L.L.C. (CVS Pharmacy # 10609)
- Delaware Dental Sleep Medicine, LLC
- Delaware Dental Studio LLC (Delaware Dental Studio)
- Delaware Dental, P.a.
- Delaware Diagnostic Imaging, P.a.
- Delaware Diagnostic Services, Inc.
- Delaware Dietitian LLC
- Delaware Eye M.D's Associates
- Delaware Eye Surgeons PA
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.