Omega Medical Supply, LLC.

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

Organization subpart

No

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

Authorized official

Name

Ms. Patricia O Ndubueze

Title

Managing Director

Phone

(301) 728-5198

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF HEALTH CARE QUALITY",
            "identifier": "R2612",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• 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.