Organization Active NPI

Disability Logistics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1255615506
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14455777 Issued in MD
Legal business name
DISABILITY LOGISTICS, LLC
Doing business as
Disability Logistics, LLC.
Practice address
5708 Bellona Ave
Baltimore, MD 21212-3509
Phone
(443) 750-4967
Fax
(443) 703-7550
NPI assigned
Oct 5, 2011
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PSYCHIATRIC REHABILITATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Dr. Joseph (Joe) I Monye, PH.D.
Title
Program Director
Phone
(443) 750-4967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 14455777 MD Primary

Addresses

Primary practice location

5708 Bellona Ave
Baltimore, MD 21212-3509

Mailing address

PO Box 11022
5708 Bellona Ave
Baltimore, MD 21212-0022
Phone (443) 750-4967

Other names 1

  • Disability Logistics, LLC. Doing business as

National Provider Directory

National Provider Directory
Part of
Disability Logistics LLC

Locations

5708 Bellona Ave
Baltimore, MD 21212
Phone (410) 323-2875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1255615506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11022",
            "address_2": "5708 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212120022",
            "telephone_number": "443-750-4967",
            "fax_number": "443-703-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123509",
            "telephone_number": "443-750-4967",
            "fax_number": "443-703-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY LOGISTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHIATRIC REHABILITATION SERVICES",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "MONYE",
        "authorized_official_first_name": "JOSEPH (JOE)",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-750-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "14455777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Disability Logistics, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.