Provider Demographics
NPI:1346430360
Name:HALPERN MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:HALPERN MEDICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:FARLEY BLUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-450-3025
Mailing Address - Street 1:200 BANNING ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3485
Mailing Address - Country:US
Mailing Address - Phone:302-678-1700
Mailing Address - Fax:302-678-2330
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:SUITE 130
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-678-1700
Practice Address - Fax:302-678-2330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HALPERN MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-26
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1346430360Medicaid
CK6142OtherRAILROAD MEDICARE PTAN
G01047Medicare PIN