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
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, MHA
Title
Owner
Phone
(570) 650-1111

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

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.