Active NPI
M & M Medical Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Takoma Park, MD
National Provider Identifier
1104060482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 15359316
- Legal business name
- M & M MEDICAL SUPPLIES, LLC
- Practice address
- 6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716 - Phone
- (301) 891-1111
- Fax
- (301) 891-1119
- NPI assigned
- Apr 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Mbu
- Title
- President
- Phone
- (301) 891-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 15359316 | MD | Primary |
Addresses
Primary practice location
6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716
Mailing address
6480 New Hampshire Ave
Suite 101
Takoma Park, MD 20912-4716
Phone (301) 891-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15359316 | Other | MD | STATE OF MARYLAND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241049600000",
"number": "1104060482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 NEW HAMPSHIRE AVE",
"address_2": "SUITE 101",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124716",
"telephone_number": "301-891-1111",
"fax_number": "301-891-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 NEW HAMPSHIRE AVE",
"address_2": "SUITE 101",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124716",
"telephone_number": "301-891-1111",
"fax_number": "301-891-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M & M MEDICAL SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A",
"authorized_official_last_name": "MBU",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-891-1111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "15359316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND",
"identifier": "15359316",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.