Organization Active NPI

Medibump LLC

  • Durable Medical Equipment & Medical Supplies
  • Pompano Beach, FL
National Provider Identifier
1013699263
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIBUMP LLC
Practice address
2700 Gateway Dr Unit a
Pompano Beach, FL 33069-4322
Phone
(954) 779-5557
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dovid Rendler
Title
Manager
Phone
(718) 666-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2700 Gateway Dr Unit a
Pompano Beach, FL 33069-4322

Mailing address

2700 Gateway Dr Unit a
Pompano Beach, FL 33069-4322
Phone (954) 779-5557

National Provider Directory

National Provider Directory

Locations

2610 NW 55th Ct
Fort Lauderdale, FL 33309

2700 Gateway Dr
Unit A
Pompano Beach, FL 33069
Phone (954) 779-5557

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1013699263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GATEWAY DR UNIT A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694322",
            "telephone_number": "954-779-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GATEWAY DR UNIT A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694322",
            "telephone_number": "954-779-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIBUMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "RENDLER",
        "authorized_official_first_name": "DOVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-666-1870"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.