Organization Active NPI

Milton R Rodrigues

Doing business as Lennys Shoe Service

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1225204449
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MILTON R RODRIGUES
Doing business as
Lennys Shoe Service
Practice address
256 South Ten Street
Philadelphia, PA 19107-5750
Phone
(215) 925-8099
Fax
(215) 592-0295
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Milton R Rodrigues
Title
Owner
Phone
(215) 925-8099

Specialties & licenses 1

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

Addresses

Primary practice location

256 South Ten Street
Philadelphia, PA 19107-5750

Mailing address

256 South Ten Street
Philadelphia, PA 19107-5750
Phone (215) 925-8099

Other names 1

  • Lennys Shoe Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1225204449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SOUTH TEN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075750",
            "telephone_number": "215-925-8099",
            "fax_number": "215-592-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SOUTH TEN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075750",
            "telephone_number": "215-925-8099",
            "fax_number": "215-592-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON R RODRIGUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-925-8099"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lennys Shoe Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2008; 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.