21St Century Medical Billing

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

21ST CENTURY MEDICAL BILLING

Doing business as

Patriot Medical Supply

Practice address

73 Buck Rd Ste E
Huntingdon Valley, PA 19006-1561

Phone

(267) 250-0793

Fax

(844) 757-3718

NPI assigned

Mar 22, 2016

Last updated

Aug 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Dolitsky

Title

Partner

Phone

(267) 250-0793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PATRIOT MEDICAL SUPPLY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564876800000",
    "number": "1053773853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BUCK RD STE E",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061561",
            "telephone_number": "267-250-0793",
            "fax_number": "844-757-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BUCK RD STE E",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061561",
            "telephone_number": "267-250-0793",
            "fax_number": "844-757-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Philmont Ave",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Feasterville Trevose",
            "state": "PA",
            "postal_code": "190536469",
            "country_code": "US",
            "telephone_number": "267-250-0793",
            "fax_number": "855-219-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "21ST CENTURY MEDICAL BILLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-08-04",
        "status": "A",
        "authorized_official_last_name": "DOLITSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "267-250-0793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032139190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRIOT MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3430 Huntingdon Pike Opco LLC (Altira at Huntingdon Valley)
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• 3430 Huntingdon PK. Opco, LLC (Huntingdon Valley Post Acute)
• 5 Star Medical Supply, Inc
• A Long Term Companion, LLC

• Durable Medical Equipment & Medical Supplies in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.