Neb Doctors of Western Pennsylvania LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

6000006759 Issued in PA

Legal business name

NEB DOCTORS OF WESTERN PENNSYLVANIA LLC

Practice address

850 Boyce Rd Ste 5
Bridgeville, PA 15017-1541

Phone

(412) 653-3750

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Randy Paulson

Title

Owner

Phone

(513) 200-2105

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1073588570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BOYCE RD STE 5",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171541",
            "telephone_number": "412-653-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOYCE RD STE 5",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171541",
            "telephone_number": "412-653-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEB DOCTORS OF WESTERN PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-200-2105"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "6000006759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014822660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Mussomeli, PTA
• Amy Naple, PT
• Lisa Napoli
• Natalie M Russo PHD and Associates PC
• Natalie Russo PHD & Associates PC
• Lauren Ashley Nedzelski, PA-C
• Jenna Nelson, LMT
• Kari M Nesmith
• Michele Annette Nichols, C.O.T.A
• Danielle Nicol

• Oxygen Equipment & Supplies (DME) in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.