NPIMap

Organization Active NPI

Kingsmount Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1053580571
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINGSMOUNT INC
Practice address
1335 W Tabor Rd - Unit 107
Foot Comfort Center
Philadelphia, PA 19141
Phone
(215) 548-7463
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mrs. Sofya Tamarkin, BCP
Title
Manager- Pedorthist
Phone
(215) 676-7463

Specialties & licenses 1

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

Addresses

Primary practice location

1335 W Tabor Rd - Unit 107
Foot Comfort Center
Philadelphia, PA 19141

Mailing address

Foot Comfort Center
9808 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-7463

Other names 1

  • Foot Comfort Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930060044 PA DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Pedorthic Personnel 2961513346 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Foot Comfort Center1335 W Tabor Rd, Philadelphia, PA 19141-3039(215) 548-7463 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 31, 2001

National Provider Directory

National Provider Directory

Locations

9808 Bustleton Ave
Ste D
Philadelphia, PA 19115

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1053580571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOOT COMFORT CENTER",
            "address_2": "9808 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-676-7463",
            "fax_number": "215-676-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD - UNIT 107",
            "address_2": "FOOT COMFORT CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-548-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSMOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "TAMARKIN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "MANAGER- PEDORTHIST",
        "authorized_official_telephone_number": "215-676-7463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Comfort Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.