Mid Atlantic Cardiovascular Prevention and Lifestyle Program LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MID ATLANTIC CARDIOVASCULAR PREVENTION AND LIFESTYLE PROGRAM LLC

Practice address

1213 Churchmans Rd
Newark, DE 19713-2149

Phone

(302) 245-1888

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Vinay Hosmane, MD

Title

Owner

Phone

(302) 294-1044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1902460462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132149",
            "telephone_number": "302-245-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132149",
            "telephone_number": "302-245-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC CARDIOVASCULAR PREVENTION AND LIFESTYLE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "HOSMANE",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-294-1044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid-Atlantic Behavioral Health, LLC
• Mid-Atlantic Care

• Cardiovascular Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.