Basic Information
Provider Information | |||||||||
NPI: | 1942392774 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | PRESSEL | ||||||||
FirstName: | DAVID | ||||||||
MiddleName: | M. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1 CAPITAL WAY | ||||||||
Address2: |   | ||||||||
City: | PENNINGTON | ||||||||
State: | NJ | ||||||||
PostalCode: | 085342520 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6093034000 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | A.I. DUPONT HOSPITAL FOR CHILDREN | ||||||||
Address2: | 1600 ROCKLAND ROAD | ||||||||
City: | WILMINGTON | ||||||||
State: | DE | ||||||||
PostalCode: | 198033607 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3026514000 | ||||||||
FaxNumber: | 3026514945 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/29/2006 | ||||||||
LastUpdateDate: | 09/27/2017 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0204X | C10006688 | DE | N |   | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine | 207PP0204X | C10006688 | DE | N |   | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine | 208D00000X | C10006688 | DE | N |   | Allopathic & Osteopathic Physicians | General Practice |   | 208M00000X | C10006688 | DE | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 208000000X | 25MA07515700 | NJ | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   |
ID Information
ID | Type | State | Issuer | Description | 910139000 | 05 | FL |   | MEDICAID | 4002466 | 05 | MD |   | MEDICAID | 7613966 | 05 | NC |   | MEDICAID | 0274893 | 05 | NY |   | MEDICAID | 7385307 | 05 | NJ |   | MEDICAID | 001640470 | 05 | PA |   | MEDICAID | 741109 | 05 | AZ |   | MEDICAID |