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NEOTERIC VITALITY PRIMARY CARE AND AESTHETICS
NPI 1528928835
Family Medicine in Middletown, DE

Active since November 18, 2025CLIA 08D2306873 · Waiver
601 TOWER LN STE 100, MIDDLETOWN, DE 19709(302) 374-0308(302) 204-6306 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neoteric Vitality Primary Care And Aesthetics NPPES

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

NEOTERIC VITALITY PRIMARY CARE AND AESTHETICS (NPI 1528928835) is a healthcare organization registered as a family medicine in Middletown, Delaware and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Janika Wallace, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1528928835
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEOTERIC VITALITY PRIMARY CARE AND AESTHETICS
Location Address601 TOWER LN STE 100Middletown, DE 19709-1763
Mailing Address601 Tower Ln Ste 100Middletown, DE 19709-1763 · (302) 374-0308 · Fax (302) 204-6306
Phone(302) 374-0308
Fax(302) 204-6306
Organization SubpartNo
Authorized OfficialJanika WallaceOwner/physician · (302) 374-0308
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1528928835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 TOWER LN STE 100, Middletown, DE 19709
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Other Names 1

Other NameNeoteric Vitality Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2306873

Neoteric Vitality Primary Care And Aesthetics · Middletown, DE
Active · expires Jun 25, 2028
CLIA Number08D2306873
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorJanika Wallace
Laboratory Phone(302) 374-0308
Laboratory LocationNeoteric Vitality Primary Care And Aesthetics601 Tower Lane Ste 101A, Middletown, DE 19709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JANIKA INEZ WALLACE D.O.
Family Medicine
601 TOWER LN STE 100
MIDDLETOWN, DE 19709
New Castle County (302) 374-0308

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 Neoteric Vitality Primary Care And Aesthetics's NPI number?

The NPI number for Neoteric Vitality Primary Care And Aesthetics is 1528928835. It was assigned to this organization in the NPPES registry on November 18, 2025. The provider is also known as Neoteric Vitality Primary Care.

Where is Neoteric Vitality Primary Care And Aesthetics located?

Neoteric Vitality Primary Care And Aesthetics is located at 601 Tower Ln Ste 100, Middletown, DE 19709. The listed phone number is (302) 374-0308.

What is Neoteric Vitality Primary Care And Aesthetics's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Neoteric Vitality Primary Care And Aesthetics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2306873) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Neoteric Vitality Primary Care And Aesthetics was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.