Active NPI
State of Delaware
- State or Local Public Health Clinic/Center
- Dover, DE
National Provider Identifier
1942376835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- STATE OF DELAWARE
- Practice address
- 417 Federal St
Dover, DE 19901-3635 - Phone
- (302) 744-4548
- Fax
- (302) 739-1613
- NPI assigned
- Nov 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karyl Rattay, MD
- Title
- Director
- Phone
- (302) 744-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Primary |
Addresses
Primary practice location
417 Federal St
Dover, DE 19901-3635
Mailing address
417 Federal St
Dover, DE 19901-3635
Phone (302) 744-4548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000119747 | Medicaid | DE |
Other names 1
- Sussex Child Health
National Provider Directory
National Provider Directory- Tax ID family
- DVH Dental Suite
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Local Education Agency (LEA)
- Georgetown, DE
- NPI 1952122566
-
- Dental Clinic/Center
- New Castle, DE
- NPI 1942168737
-
- Psychiatric Hospital
- New Castle, DE
- NPI 1942676291
-
- Local Education Agency (LEA)
- Clayton, DE
- NPI 1881738599
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1881760783
-
- Student Health Clinic/Center
- Dover, DE
- NPI 1881762292
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1881766681
-
- Student Health Clinic/Center
- Dover, DE
- NPI 1891854402
-
- Local Education Agency (LEA)
- Wilmington, DE
- NPI 1912041880
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1912086174
-
- Local Education Agency (LEA)
- Delmar, DE
- NPI 1922142892
-
- State or Local Public Health Clinic/Center
- Dover, DE
- NPI 1922173087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1942376835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 FEDERAL ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013635",
"telephone_number": "302-744-4548",
"fax_number": "302-739-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 FEDERAL ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013635",
"telephone_number": "302-744-4548",
"fax_number": "302-739-1613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "RATTAY",
"authorized_official_first_name": "KARYL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "302-744-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000119747",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sussex Child Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.