ENT AND ALLERGY OF DELAWARE LLC (NPI# 1386946333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386946333 |
| Entity Type | Organization |
| Organization Name | ENT AND ALLERGY OF DELAWARE LLC |
| Practice Address |
700 Prides Xing Ste 200 Newark DE 19713-6109 |
| Practice Telephone | 3029980300 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | KIERAN CONNOLLY (OWNER) |
| Authorized Official Telephone | 3029980300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
700 PRIDES XING STE 200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695987 | Michael T. Teixido | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-08 |
| 1942729819 | Thomas Graves | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2017-09-12 |
| 1033455381 | Junfang Jiao | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2012-12-13 |
| 1114239407 | Jonathan J. Romak | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2010-07-02 |
| 1710116462 | Gregg H Goldstein | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2009-07-02 |
| 1225249113 | Sokun Ky Bhatti | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-24 |
| 1912128588 | Mark Landis | Nurse Practitioner | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-01 |
| 1144258120 | Quan Chung Nguyen | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-29 |
| 1427092501 | William Macon Sheppard IIi | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-16 |
| 1700828332 | Kieran M. Connolly | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
| Find all providers in NEWARK | ||||
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| 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.