FIRST STATE INTERNAL MEDICINE PC (NPI# 1356693394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356693394 |
| Entity Type | Organization |
| Organization Name | FIRST STATE INTERNAL MEDICINE PC |
| Practice Address |
102 Sleepy Hollow Dr Suite 101 Middletown DE 19709-5841 |
| Mailing Address |
1208 Hurlock Ct Bear DE 19701-4960 |
| Practice Telephone | 3022612269 |
| Practice Fax Number | 3028342184 |
| Mailing Telephone | 3022612269 |
| Mailing Fax Number | 3028342184 |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | RASHMI KHANDELWAL (PRESIDENT) |
| Authorized Official Telephone | 3027538204 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2012605820 | DE | Ambulatory Health Care Facilities |
| Street Address |
102 SLEEPY HOLLOW DR SUITE 101 |
| City | MIDDLETOWN |
| State | DE |
| Zip Code | 19709-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344816 | Rodrigo Cordero Tanchanco | Internal Medicine | 102 Sleepy Hollow Dr, Suite 101, Middletown, DE 19709-5841 | 2005-05-27 |
| 1407274046 | Mani Thomas | Counselor | 102 Sleepy Hollow Dr, Child Guidance Resource Centers, Middletown, DE 19709-5841 | 2014-04-01 |
| 1053732883 | Pittman Behavioral Health LLC | Clinic/Center | 102 Sleepy Hollow Dr, Suite 204 Bunker Hill Building, Middletown, DE 19709-5841 | 2013-12-20 |
| 1417380312 | Taresa Pittman | Registered Nurse | 102 Sleepy Hollow Dr, Suite 204 Bunker Hill Building, Middletown, DE 19709-5846 | 2013-08-14 |
| 1053604595 | Cheryl Seaman Sadeghee | Social Worker | 102 Sleepy Hollow Dr, Suite 200, Middletown, DE 19709-5841 | 2011-05-17 |
| 1275837189 | Ana Nora Caruso | Social Worker | 102 Sleepy Hollow Dr, Suite 103, Middletown, DE 19709-5841 | 2011-01-06 |
| 1962733436 | Ladale Renee Walker | Dietitian, Registered | 102 Sleepy Hollow Dr, Suite 200, Middletown, DE 19709-5841 | 2010-01-24 |
| 1487982880 | Self Realization, LLC | Psychologist | 102 Sleepy Hollow Dr, Ste 200, Middletown, DE 19709-5841 | 2009-11-23 |
| 1437383395 | Jolly Smiles, P.a. | Dentist | 102 Sleepy Hollow Dr, Suite 100, Middletown, DE 19709-5841 | 2009-05-06 |
| 1871716423 | Mary Dale | Counselor | 102 Sleepy Hollow Dr, Middletown, DE 19709-5841 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1447870118 | Adella Sangarie | Licensed Practical Nurse | 712 Wood Duck Ct, Middletown, DE 19709 | 2020-04-22 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1629559554 | Acceptance Counseling, LLC | Social Worker | 115 N. Broad St, Ste 1, Middletown, DE 19709 | 2018-08-28 |
| 1356844492 | Eden Hill Expresscare, LLC | Clinic/Center | 749 Middletown Warwick Road, Middletown, DE 19709 | 2018-03-15 |
| 1740782135 | Angela L Robinson | Counselor | 5350 Summit Bridge Rd Ste 103, Middletown, DE 19709 | 2018-03-02 |
| 1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
| 1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
| 1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
| 1811432008 | Leslie Nkansah | Pharmacist | 367 Ellenwood Drive, Middletown, DE 19709 | 2016-12-27 |
| Find all providers in zip 19709 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1356740336 | Mid Hudson Psychiatric Consultants PC | Clinic/Center | 41 Dolson Ave, Middletown, NY 10940-6489 | 2014-08-15 |
| 1467879007 | Ear Nose and Throat Specialists of Middletown, Inc | Clinic/Center | 1055 Summitt Dr, Middletown, OH 45042-3464 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846197 | Olive Branch Medical LLC | Clinic/Center | 530 Harlan Blvd Unit 404, Wilmington, DE 19801-5170 | 2020-06-24 |
| 1386751048 | Robert N. Dumin, M.d. | Clinic/Center | 1504 Turkey Run Rd, Wilmington, DE 19803-3918 | 2006-08-25 |
| 1407865173 | Coastal Kid Watch | Clinic/Center | 203 Atlantic Ave, Suite # 1, Millville, DE 19967-6724 | 2006-08-05 |
| 1467076059 | Stellar Surgical | Clinic/Center | 230 Beiser Blvd Ste 200, Dover, DE 19904-7792 | 2020-05-30 |
| 1619338126 | Seiff Center for Aesthetic & Reconstructive Surgery Pa | Clinic/Center | 200 Banning St, Suite 370, Dover, DE 19904-3485 | 2016-03-10 |
| 1457716623 | Foreverkneading | Clinic/Center | 254 Chapman Rd, Topkis Bldg, Newark, DE 19702-5413 | 2015-12-15 |
| 1699154880 | Wilmington Family Eye Care LLC | Clinic/Center | 801 E Newport Pike, Wilmington, DE 19804-1920 | 2015-05-21 |
| 1528454683 | Greenville As, LLC | Clinic/Center | 3801 Kennett Pike, E126, Wilmington, DE 19807-2321 | 2015-04-15 |
| 1578984498 | Craig Smucker Md Orthopaedics | Clinic/Center | 5936 Limestone Rd, Suite 202, Hockessin, DE 19707-8930 | 2013-12-18 |
| 1215278726 | Family Eye Care, LLC | Clinic/Center | 410 Foulk Rd, Suite 102, Wilmington, DE 19803-3820 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 19709 |
Please comment or provide details below to improve the information on FIRST STATE INTERNAL MEDICINE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.