NPIMap

Organization Active NPI

New Age Medical, LLC

  • Prosthetic/Orthotic Supplier
  • Huntingdon Valley, PA
National Provider Identifier
1235389768
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW AGE MEDICAL, LLC
Practice address
55 Buck Rd
Suite 11
Huntingdon Valley, PA 19006-1501
Phone
(215) 518-9998
Fax
(215) 396-6650
NPI assigned
Sep 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Authorized official

Name
Yelena Marmur
Title
Administrator
Phone
(215) 518-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

55 Buck Rd
Suite 11
Huntingdon Valley, PA 19006-1501

Mailing address

55 Buck Rd
Suite 11
Huntingdon Valley, PA 19006-1501
Phone (215) 518-9998

National Provider Directory

National Provider Directory

Locations

55 Buck Rd
Ste 11
Huntingdon Valley, PA 19006
Phone (215) 518-9998

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1235389768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUCK RD",
            "address_2": "SUITE 11",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061501",
            "telephone_number": "215-518-9998",
            "fax_number": "215-396-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCK RD",
            "address_2": "SUITE 11",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061501",
            "telephone_number": "215-518-9998",
            "fax_number": "215-396-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "MARMUR",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-518-9998"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.