Organization Active NPI

Maurice a.Thew M.D., P.a.

  • Dermatology Physician
  • Wilmington, DE
National Provider Identifier
1962437459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MAURICE A.THEW M.D., P.A.
Practice address
19 The Commons
3516 Silverside Road
Wilmington, DE 19810-4932
Phone
(302) 478-1213
Fax
(302) 478-2274
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maurice A Thew, MD
Title
President
Phone
(302) 478-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

19 The Commons
3516 Silverside Road
Wilmington, DE 19810-4932

Mailing address

PO Box 3012
Wilmington, DE 19804-0012
Phone (302) 224-5678

Other identifiers 1

IdentifierTypeStateIssuer
0000209002MedicaidDE

National Provider Directory

National Provider Directory

Locations

3516 Silverside Rd
Wilmington, DE 19810
Phone (302) 478-1213

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962437459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198040012",
            "telephone_number": "302-224-5678",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 THE COMMONS",
            "address_2": "3516 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104932",
            "telephone_number": "302-478-1213",
            "fax_number": "302-478-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE A.THEW M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEW",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-1213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000209002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, 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.