Family Practice Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FAMILY PRACTICE CENTER

Practice address

34445 King Street Row
Lewes, DE 19958-4787

Phone

(302) 645-2833

Fax

(978) 327-7891

NPI assigned

Oct 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jerome E Groll, MD

Title

MD

Phone

(302) 645-2833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1962806141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "978-327-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "978-327-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "GROLL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "302-645-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jekeijra Everson
• Excelcare at Lewes LLC
• Ellen Long Faber
• Mark Facciolo, DO
• PJ Facciolo, MSW, LSSW
• Family Practice Center, PA
• Kelly Anne Fanto, MD
• Stephen Michael Fanto, M.D.
• Julie Marie Farace, RN
• Daniel Michael Farmer, RN

• Family Nurse Practitioner in Lewes, DE
• Providers in Lewes, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.