Organization Active NPI

Dormar Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1124716709
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DORMAR MEDICAL SUPPLIES LLC
Practice address
9237 Roosevelt Blvd Ste 102
Philadelphia, PA 19114-2205
Phone
(215) 613-8656
Fax
(267) 343-7970
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
James Lewis
Title
Authorized Offical
Phone
(267) 298-9582

Specialties & licenses 1

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

Addresses

Primary practice location

9237 Roosevelt Blvd Ste 102
Philadelphia, PA 19114-2205

Mailing address

9237 Roosevelt Blvd Ste 102
Philadelphia, PA 19114-2205
Phone (267) 298-9582

National Provider Directory

National Provider Directory

Locations

9237 Roosevelt Blvd
Ste 102
Philadelphia, PA 19114
Phone (215) 613-8656

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1124716709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 ROOSEVELT BLVD STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142205",
            "telephone_number": "267-298-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 ROOSEVELT BLVD STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142205",
            "telephone_number": "215-613-8656",
            "fax_number": "267-343-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMAR MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "267-298-9582"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.