First State Cardiovascular Associates Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FIRST STATE CARDIOVASCULAR ASSOCIATES INC

Practice address

750 Kings Hwy Ste 105
Lewes, DE 19958-1772

Phone

(302) 200-7530

Fax

(302) 200-7966

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jude O Ediae, MDNPI 1619137569

Title

Ceo

Phone

(215) 290-6845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

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

• Jude O Ediae, MD

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1619137569
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Fields, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Lewes, DE
  • NPI 1336535715
  Medicare reassignment Care Compare group NPD
• Jordan Michelle Prouse, FNP

  • Family Nurse Practitioner
  • Lewes, DE
  • NPI 1811756349
  NPD

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1912606401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY STE 105",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-200-7530",
            "fax_number": "302-200-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY STE 105",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-200-7530",
            "fax_number": "302-200-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE CARDIOVASCULAR ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "EDIAE",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-290-6845",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Gail Field, RN
• Devona Fields
• Rachel Fields, AGACNP-BC
• Heidi Ann Fink, RN
• Anna Michelle Finkle, MS, OTR/L, CHT
• First State Home PT LLC
• First State Orthopaedics PA
• First State Orthopaedics PA
• First State Orthopaedics PA
• First State Orthopaedics, PA

• Cardiovascular Disease Physician in Lewes, DE
• Providers in Lewes, 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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.