Organization Active NPI

Ghassem Vakili, M.D. P.a

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1891132379
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C10000915 Issued in DE
Legal business name
GHASSEM VAKILI, M.D. P.A
Practice address
314 E Main St
Suite 406
Newark, DE 19711-7128
Phone
(302) 738-0555
Fax
(302) 738-0810
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Ghassem Vakili, MD
Title
President
Phone
(302) 738-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C10000915 DE Primary

Addresses

Primary practice location

314 E Main St
Suite 406
Newark, DE 19711-7128

Mailing address

314 E Main St
Suite 406
Newark, DE 19711-7128
Phone (302) 738-0555

Other identifiers 1

IdentifierTypeStateIssuer
47159OtherDEMEDICARE

Other names 1

  • Ghassem Vakili, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

314 E Main St
Ste 406
Newark, DE 19711
Phone (302) 738-0555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1891132379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 406",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-738-0555",
            "fax_number": "302-738-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "address_2": "SUITE 406",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-738-0555",
            "fax_number": "302-738-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHASSEM VAKILI, M.D. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "VAKILI",
        "authorized_official_first_name": "GHASSEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-738-3540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C10000915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "47159",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghassem Vakili, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.