Organization Active NPI

Mid-Atlantic of Delmar, LLC

  • Skilled Nursing Facility
  • Delmar, DE
National Provider Identifier
1891703328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1028 Issued in DE
Legal business name
MID-ATLANTIC OF DELMAR, LLC
Practice address
101 Delaware Ave
Delmar, DE 19940-1110
Phone
(302) 846-3077
Fax
(303) 846-3478
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Scott Rifkin, M.D.NPI 1457380834
Title
Managing Member
Phone
(410) 668-3808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
101 E Delaware Ave Operations LLC (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1028 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Delaware Ave
Delmar, DE 19940-1110

Mailing address

101 Delaware Ave
Delmar, DE 19940-1110
Phone (302) 846-3077

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1000039683MedicaidDE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891703328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DELAWARE AVE",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401110",
            "telephone_number": "302-846-3077",
            "fax_number": "303-846-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DELAWARE AVE",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401110",
            "telephone_number": "302-846-3077",
            "fax_number": "303-846-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC OF DELMAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-668-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039683",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, 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.