NPIMap

Organization Active NPI

Promedical East

  • Durable Medical Equipment & Medical Supplies
  • Bryn Mawr, PA
National Provider Identifier
1063434645
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
600005771 Issued in PA
Legal business name
PROMEDICAL EAST
Practice address
1429 County Line Rd
Bryn Mawr, PA 19010-1604
Phone
(610) 525-3162
Fax
(610) 525-4009
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Mr. John F. Dimarco
Title
Managing Partner
Phone
(610) 525-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 600005771 PA Primary

Addresses

Primary practice location

1429 County Line Rd
Bryn Mawr, PA 19010-1604

Mailing address

1429 County Line Rd
Bryn Mawr, PA 19010-1604
Phone (610) 525-3162

Other identifiers 2

IdentifierTypeStateIssuer
010145988MedicaidVI
1861130MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Pro Medical East LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1063434645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101604",
            "telephone_number": "610-525-3162",
            "fax_number": "610-525-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101604",
            "telephone_number": "610-525-3162",
            "fax_number": "610-525-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICAL EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "610-525-3162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "600005771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010145988",
            "state": "VI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.