Patriot Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3000008635 Issued in PA

Legal business name

PATRIOT MEDICAL SUPPLY, INC.

Doing business as

Patriot Medical

Practice address

380 Red Lion Rd
Suite 203
Huntingdon Valley, PA 19006-6451

Phone

(215) 821-9495

Fax

(215) 677-7801

NPI assigned

Oct 5, 2010

Last updated

Apr 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yury Shraybman

Title

Manager

Phone

(215) 821-9495

Specialties & licenses 1

Addresses

Other names 1

• Patriot Medical Doing business as

Locations

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1194034371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RED LION RD",
            "address_2": "SUITE 203",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066451",
            "telephone_number": "215-821-9495",
            "fax_number": "215-677-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RED LION RD",
            "address_2": "SUITE 203",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066451",
            "telephone_number": "215-821-9495",
            "fax_number": "215-677-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SHRAYBMAN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-821-9495"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000008635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Panetta, R.D.
• Roberto Panis, M.D.
• Alexandra Reed Parish, DPM
• Andrea R Pates
• Luba Patlakh, MS, CU-SLP
• Jennifer Patterson
• Inna Pavlova-Rosenfeld, MSCP, NCC, LPC
• Peace Be Still Holistic Health
• Deborah Pelberg, MA LMFT
• Penn Choice Ambulance Inc.

• Durable Medical Equipment & Medical Supplies in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.