OrganizationActive
Fenwick Medical Center PA
NPI 1396780664 · Primary Care Clinic/Center · Fenwick Island, DE
Provider details
- NPI number
- 1396780664
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Borodulia, Practice Owner(302) 581-0458
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Coastal Hwy
Fenwick Island, DE 19944
Phone: (302) 581-0458
Fax: (302) 581-0460
Street-level locationGet directions
Mailing address
12036 S Piney Point Rd
Bishopville, MD 21813-1542
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.