Active NPI
Delmarva Radiation Services, PA
- Radiation Oncology Physician
- Rehoboth Beach, DE
National Provider Identifier
1992740906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- DELMARVA RADIATION SERVICES, PA
- Practice address
- 18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474 - Phone
- (302) 645-3775
- Fax
- (302) 645-3774
- NPI assigned
- Jun 17, 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
- Dr. Brian J Costleigh, MD
- Title
- Medical Director/President
- Phone
- (302) 645-3775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474
Mailing address
PO Box 497
Lewes, DE 19958-0497
Phone (302) 645-3775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000038787 | Medicaid | DE | |
| DE4449 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Rehoboth Beach, DE
- NPI 1720203235
-
- Radiation Oncology Physician
- Rehoboth Beach, DE
- NPI 1669675880
-
- Radiation Oncology Physician
- Rehoboth Beach, DE
- NPI 1043412935
-
- Radiation Oncology Physician
- Melbourne, FL
- NPI 1932101144
-
- Radiation Oncology Physician
- Honolulu, HI
- NPI 1679004014
-
- Radiation Oncology Physician
- Berlin, MD
- NPI 1285620369
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1952380123
-
- Radiation Oncology Physician
- Elizabeth City, VA
- NPI 1639130602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1992740906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "LEWES",
"state": "DE",
"postal_code": "199580497",
"telephone_number": "302-645-3775",
"fax_number": "302-645-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714474",
"telephone_number": "302-645-3775",
"fax_number": "302-645-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELMARVA RADIATION SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "COSTLEIGH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
"authorized_official_telephone_number": "302-645-3775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000038787",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE4449",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.