Koftown Medical Center LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KOFTOWN MEDICAL CENTER LLC

Practice address

108 Patriot Dr Ste a
Middletown, DE 19709-8803

Phone

(302) 898-9494

NPI assigned

Jan 18, 2022

Last updated

Feb 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard Addogoh, NPNPI 1841534120

Title

Nurse Practitioner

Phone

(302) 898-9494

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard Akihito Addogoh, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, DE
  • NPI 1841534120

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• John B Kaburia, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
  • NPI 1518533306
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1982355319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "302-898-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Chapman Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197025410",
            "country_code": "US",
            "telephone_number": "302-898-7557",
            "fax_number": "877-728-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOFTOWN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "ADDOGOH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "302-898-9494",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://koftownmedicalcenter.business.site/",
            "affiliation": "N",
            "endpointDescription": "https://koftownmedicalcenter.business.site/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Patriot Dr Ste A",
            "city": "Middletown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197098803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://koftownmedicalcenter.business.site/",
            "affiliation": "N",
            "endpointDescription": "https://koftownmedicalcenter.business.site/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "260 Chapman Rd Ste 107",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197025410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittanee King, LMSW
• Katherine M King, R.N.
• Hailey Elizabeth Kline, LPCMH
• Sandra Lee Knauer-King, MSW
• Bernice Knox
• Mary Ann Korb, MS
• Withney Milord Korley, O.D
• Kanchan Dinesh Kotak, M.D.
• Jonathan Koval, PHARMD
• Victor B Kozar, ATC

• Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.