Organization Active NPI

Silver Cross

  • Customized Equipment (DME)
  • Broomall, PA
National Provider Identifier
1053647479
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
83355159 Issued in PA
Legal business name
SILVER CROSS
Practice address
792 Park Way
Broomall, PA 19008-4212
Phone
(610) 543-4140
Fax
(610) 543-4154
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Mr. Jonathan K Myers
Title
Owner
Phone
(610) 543-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 83355159 PA Primary

Addresses

Primary practice location

792 Park Way
Broomall, PA 19008-4212

Mailing address

792 Park Way
Broomall, PA 19008-4212
Phone (610) 543-4140

National Provider Directory

National Provider Directory

Locations

792 Park Way
Broomall, PA 19008
Phone (610) 543-4140

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1053647479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 PARK WAY",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084212",
            "telephone_number": "610-543-4140",
            "fax_number": "610-543-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 PARK WAY",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084212",
            "telephone_number": "610-543-4140",
            "fax_number": "610-543-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-543-4140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "83355159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.