Organization Active NPI

Accessibility Advantage LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilkes Barre, PA
National Provider Identifier
1104447697
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACCESSIBILITY ADVANTAGE LLC
Practice address
1335 Highway 315
Suite 2
Wilkes-Barre, PA 18702-7007
Phone
(570) 445-9214
Fax
(570) 550-9907
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Mr. Peter B. Mailloux, MHANPI 1073781118
Title
Owner
Phone
(570) 650-1111

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 Primary

Addresses

Primary practice location

1335 Highway 315
Suite 2
Wilkes-Barre, PA 18702-7007

Mailing address

1335 Highway 315
Suite 2
Wilkes-Barre, PA 18702-7007
Phone (570) 445-9214

National Provider Directory

National Provider Directory

Locations

1335 Highway 315 Blvd
Ste 2
Wilkes Barre, PA 18702
Phone (570) 445-9214

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": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1104447697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 HIGHWAY 315",
            "address_2": "SUITE 2",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187027007",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 HIGHWAY 315",
            "address_2": "SUITE 2",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187027007",
            "telephone_number": "570-445-9214",
            "fax_number": "570-550-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBILITY ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MAILLOUX",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-650-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.