Organization Active NPI

Delaware Dermatological Medicine, Inc.

  • Procedural Dermatology Physician
  • Wilmington, DE
National Provider Identifier
1881615011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
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, 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
Ben Bansal
Title
Bus. MGR
Phone
(302) 888-1577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.