Healthcare Provider Details

I. General information

NPI: 1245685007
Provider Name (Legal Business Name): NEW HOPE FAMILY MEDICINE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 GRIFFIN DR
WILMINGTON DE
19808-4254
US

IV. Provider business mailing address

4515 GRIFFIN DR
WILMINGTON DE
19808-4254
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-7364
  • Fax: 302-424-9362
Mailing address:
  • Phone: 302-388-9304
  • Fax: 302-424-9362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCI-0D00967
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000431
License Number StateDE

VIII. Authorized Official

Name: MR. ROBERT LEE BINKLEY
Title or Position: PRACTICE MANAGER
Credential: MA, CPT
Phone: 302-388-9304