STATE OF DELAWARE
NPI 1114512068
Clinic/Center - Prison Health in New Castle, DE

Q: What is State Of Delaware's NPI number?

The NPI number for State Of Delaware is 1114512068. It was assigned to this organization in the NPPES registry on March 3, 2021. The provider is doing business as State of DE - DOC.

Q: What is State Of Delaware's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

Q: When was this NPI record last updated?

The NPPES record for State Of Delaware was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 03, 2021

660 BAYLOR BLVD, NEW CASTLE, DE 19720(302) 577-3004 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About State Of Delaware NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF DELAWARE (NPI 1114512068), doing business as State Of De - Doc, is a healthcare organization registered as a prison health in New Castle, Delaware and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Wilmington and lists Awele N. Maduka-ezeh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114512068

Entity TypeOrganization

Primary Taxonomy261QP2400X

Legal Business NameSTATE OF DELAWARE

Location Address660 BAYLOR BLVDNew Castle, DE 19720-1140

Mailing Address245 Mckee RdDover, DE 19904-2232

Phone(302) 577-3004

Organization SubpartYes

Authorized OfficialAwele N. Maduka-ezehMedical Director · (302) 739-5601

Enumeration DateMarch 3, 2021

NPPES CertifiedMarch 3, 2021

✔ NPI 1114512068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities

Taxonomy Code261QP2400X

660 BAYLOR BLVD, New Castle, DE 19720

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Other Names 1

Doing Business AsState Of De - Doc

Secondary Practice Location 1

Location 11301 E 12th StWilmington, DE 19802-5315 · Phone (302) 429-7700

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINE OMANYA

Nurse Practitioner (Family)

660 BAYLOR BLVD
NEW CASTLE, DE 19720

New Castle County (302) 577-3004

MISS LYNDSAY MARIE MCCULLOUGH FNP-C

Nurse Practitioner (Family)

660 BAYLOR BLVD
NEW CASTLE, DE 19720

New Castle County (302) 577-3004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Delaware's NPI number?

The NPI number for State Of Delaware is 1114512068. It was assigned to this organization in the NPPES registry on March 3, 2021. The provider is doing business as State of DE - DOC.

Where is State Of Delaware located?

State Of Delaware is located at 660 Baylor Blvd, New Castle, DE 19720. The listed phone number is (302) 577-3004.

What is State Of Delaware's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for State Of Delaware was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.