Active NPI
Jessica M. Gotay-Lehmer, DO
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1912040627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H0069465
- Practice address
- 200 Biddle Ave Ste 100
Newark, DE 19702-3967 - Phone
- (302) 836-7820
- Fax
- (302) 836-7826
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C2-0012895 | DE | |
| Pediatrics Physician | 208000000X | H0069465 | MD | Primary |
Addresses
Primary practice location
200 Biddle Ave Ste 100
Newark, DE 19702-3967
Mailing address
PO Box 213
Churchville, MD 21028-0213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5700418 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0069465 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1912040627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 213",
"city": "CHURCHVILLE",
"state": "MD",
"postal_code": "210280213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BIDDLE AVE STE 100",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023967",
"telephone_number": "302-836-7820",
"fax_number": "302-836-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTAY-LEHMER",
"first_name": "JESSICA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "DE",
"license": "C2-0012895",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "H0069465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5700418",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}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 Sep 30, 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.