NPIMap

Organization Active NPI

Medtix, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
National Provider Identifier
1033460696
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2012605626 Issued in DE
Legal business name
MEDTIX, LLC
Practice address
221 S Rehoboth Blvd
Milford, DE 19963-1568
Phone
(302) 265-4550
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. Jack Berberian
Title
Member
Phone
(302) 645-8070

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2012605626 DE Primary
Nursing Facility Supplies (DME) 332BN1400X 2012605626 DE
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 2012605626 DE
Oxygen Equipment & Supplies (DME) 332BX2000X 2012605626 DE

Addresses

Primary practice location

221 S Rehoboth Blvd
Milford, DE 19963-1568

Mailing address

16337 Coastal Hwy
Lewes, DE 19958-3607
Phone (302) 645-8070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1033460696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16337 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583607",
            "telephone_number": "302-645-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S REHOBOTH BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631568",
            "telephone_number": "302-265-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BERBERIAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "302-645-8070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "2012605626",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "DE",
            "license": "2012605626",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "DE",
            "license": "2012605626",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "DE",
            "license": "2012605626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.