FENWICK MEDICAL CENTER PA
NPI 1396780664
Clinic/Center - Primary Care in Fenwick Island, DE

Active since June 19, 2006
1400 COASTAL HWY, FENWICK ISLAND, DE 19944(302) 581-0458(302) 581-0460 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Jul 20, 2018 (2 updates tracked since 2018).

About Fenwick Medical Center Pa NPPES

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

FENWICK MEDICAL CENTER PA (NPI 1396780664) is a healthcare organization registered as a primary care in Fenwick Island, Delaware and active in the NPI registry since June 2006. The organization lists Nicholas Nicholson Borodulia, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1396780664
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFENWICK MEDICAL CENTER PA
Location Address1400 COASTAL HWYFenwick Island, DE 19944
Mailing Address12036 S Piney Point RdBishopville, MD 21813-1542 · (410) 430-5154 · Fax (410) 352-5430
Fax(302) 581-0460
Organization SubpartNo
Authorized OfficialNicholas Nicholson BoroduliaPractice Owner · (302) 581-0458
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1396780664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in DE · C10001802
Also ListedFamily MedicineTaxonomy 207Q00000X
1400 COASTAL HWY, Fenwick Island, DE 19944

Other Identifiers 1

OtherDG9614DE · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Family Medicine
1400 COASTAL HWY
FENWICK ISLAND, DE 19944
Nurse Practitioner (Family)
1400 COASTAL HWY
FENWICK ISLAND, DE 19944

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 Fenwick Medical Center PA's NPI number?

The NPI number for Fenwick Medical Center PA is 1396780664. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Fenwick Medical Center PA located?

Fenwick Medical Center PA is located at 1400 Coastal Hwy, Fenwick Island, DE 19944. The listed phone number is (302) 581-0458.

What is Fenwick Medical Center PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Fenwick Medical Center PA accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Fenwick Medical Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fenwick Medical Center PA was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.