MEDICARE: WILMINGTON AUDIOLOGY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	1989026866	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127565	OTHER	DE	UNITED HEALTHCARE
2	2277668000	OTHER	DE	AMERIHEALTH HMO
3	CJ8164	OTHER	DE	PALMETTO GBA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2277668000	OTHER	DE	AMERIHEALTH PPO
6	1598607	OTHER	DE	AMERIHEALTH ADMINISTRATOR
7	2277668000	OTHER	DE	INDEPENDENCE PERSONAL
8	0000207702	OTHER	DE	DIAMOND STATE PARTNERS
9	2277668000	OTHER	DE	KEYSTONE HEALTH PLAN EAST
10	55423	OTHER	DE	AETNA US HEALTHCARE

General Provider Information

NPI Number	:	1508898107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILMINGTON AUDIOLOGY SERVICES

Provider Business Mailing Address
First Line	:	2300 PENNSYLVANIA AVE STE 1C
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1333
Country	:	US
Telephone Number	:	302-654-1011
Fax Number	:	302-654-4313

Provider Business Practice Location Address
First Line	:	2300 PENNSYLVANIA AVE
Second Line	:	SUITE 1-C
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1392
Country	:	US
Telephone Number	:	302-654-1011
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ENT
Name	:	JAY D. LUFT
Credential	:
Telephone Number	:	302-654-1011

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	05/27/2026

Similar Medicare Providers

1699772426 — SATOSHI IKEDA M.D.
Practice Location Address:

2300 PENNSYLVANIA AVE , SUITE 3 D
WILMINGTON, DE
19806-1392

Practice Phone: 302-656-3333
Practice Fax: 302-656-1530

1962442632 — JOSE D MANALO M.D.
Practice Location Address:

2300 PENNSYLVANIA AVE , SUITE 1A
WILMINGTON, DE
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1255372140 — JAY D. LUFT MD
Practice Location Address:

2300 PENNSYLVANIA AVE
WILMINGTON, DE
19806-1392

Practice Phone: 302-658-0404
Practice Fax:

1902840226 — FAMILY MEDICAL ASSOCIATES OF DELAWARE
Practice Location Address:

2300 PENNSYLVANIA AVE , SUITE 1A
WILMINGTON, DE
19806-1392

Practice Phone: 302-655-0355
Practice Fax: 302-655-4833

1518902451 — WILMINGTON OTOLARYNGOLOGY ASSOCIATES, PA
Practice Location Address:

2300 PENNSYLVANIA AVE , SUITE 2A
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Practice Phone: 302-658-0404
Practice Fax:

1003851718 — WILLIAM L. MEDFORD MD
Practice Location Address:

2300 PENNSYLVANIA AVE , SUITE 2A
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Practice Phone: 302-658-0404
Practice Fax:

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