Healthcare Provider Details

I. General information

NPI: 1356275093
Provider Name (Legal Business Name): NAPA ASC NEWARK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1092 OLD CHURCHMANS RD
NEWARK DE
19713-2102
US

IV. Provider business mailing address

1092 OLD CHURCHMANS RD
NEWARK DE
19713-2102
US

V. Phone/Fax

Practice location:
  • Phone: 302-472-9880
  • Fax: 302-472-9614
Mailing address:
  • Phone: 302-472-9880
  • Fax: 302-472-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GINA JOHNSTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 302-225-3599