NPIMap

Organization Active NPI

Omega Medical Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Berwyn Heights, MD
National Provider Identifier
1073849352
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R2612 Issued in MD
Legal business name
OMEGA MEDICAL SUPPLY, LLC.
Practice address
6215 Greenbelt Rd
Suite 306
Berwyn Heights, MD 20740-2355
Phone
(301) 728-5198
Fax
(301) 809-1462
NPI assigned
Oct 21, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Ms. Patricia O NdubuezeNPI 1952997587
Title
Managing Director
Phone
(301) 728-5198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R2612 MD Primary

Addresses

Primary practice location

6215 Greenbelt Rd
Suite 306
Berwyn Heights, MD 20740-2355

Mailing address

6215 Greenbelt Rd
Suite 306
Berwyn Heights, MD 20740-2355
Phone (301) 728-5198

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1073849352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD",
            "address_2": "SUITE 306",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402355",
            "telephone_number": "301-728-5198",
            "fax_number": "301-809-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD",
            "address_2": "SUITE 306",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402355",
            "telephone_number": "301-728-5198",
            "fax_number": "301-809-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MEDICAL SUPPLY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "NDUBUEZE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-728-5198",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.