Active NPI
Delaware Valley Physiatry, Inc
- Physical Medicine & Rehabilitation Physician
- Newark, DE
National Provider Identifier
1962501684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- DELAWARE VALLEY PHYSIATRY, INC
- Practice address
- 15 Omega Dr
Building K
Newark, DE 19713-2057 - Phone
- (302) 777-7898
- Fax
- (800) 386-9828
- NPI assigned
- Sep 21, 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
- Brian Lamar Brice, MD
- Title
- President
- Phone
- (302) 777-7898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
15 Omega Dr
Building K
Newark, DE 19713-2057
Mailing address
4249 Pebble Beach Dr
Stockton, CA 95219-1913
Phone (302) 777-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000023526 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
701 Foulk Rd
Ste 1H
Wilmington, DE 19803
Phone (302) 777-7898
701 Foulk Rd
#1H
Wilmington, DE 19803
Phone (302) 777-7898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1962501684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4249 PEBBLE BEACH DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952191913",
"telephone_number": "302-777-7898",
"fax_number": "800-386-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 OMEGA DR",
"address_2": "BUILDING K",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132057",
"telephone_number": "302-777-7898",
"fax_number": "800-386-9828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE VALLEY PHYSIATRY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "BRICE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-777-7898",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000023526",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
- Delaware Sleep Disorder Centers, LLC
- Delaware Sleep Disorder Centers, LLC
- Delaware Sleep Disorder Centers, LLC
- Delaware Sleep Disorder Centers, LLC
- Delaware Spine & Interventional Pain LLC
- Delaware Vascular and Vein Center, LLC
- Delaware Vascular Associates P a
- Delaware Womens Imaging LLC
- Gail Deleeuw, CRNA
- Jodie L Delesio, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.