Id Doc LLC
Id Doc LLC is a healthcare organization registered as Infectious Disease Physician in Wilmington, DE, holding Type 2 (organization) NPI 1902518939 since 2022. The authorized official on file is Maya Gupta, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902518939 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Id Doc LLC |
| Practice address | 410 FOULK RD STE 105, Wilmington, DE, 19803 |
| Phone | 3022959300 |
| Fax | 3023847162 |
| Enumeration date | 2022-12-21 |
| Last updated in NPPES | 2023-10-06 |
Authorized official
| Name | Maya Gupta |
|---|---|
| Title | Owner |
| Phone | 3022959300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RI0200X | Infectious Disease Physician | Primary | — | — |
Copy-ready billing details
Provider: Id Doc LLC NPI: 1902518939 Taxonomy: 207RI0200X (Infectious Disease Physician) Address: 410 FOULK RD STE 105, Wilmington, DE, 19803
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558662346 | Focus Behavioral Health,LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Wilmington, DE |
| 1861081499 | Brain Spa De LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Wilmington, DE |
| 1083389324 | Ronald Tyree | Individual | Psychiatric/Mental Health Nurse Practitioner | Wilmington, DE |
Verify this record
Cross-check NPI 1902518939 against the authoritative CMS record: view Id Doc LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Id Doc LLC?
What is the NPI number for Id Doc LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-06.