PA Medical Equipment and Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

246034623/000 Issued in PA

Legal business name

PA MEDICAL EQUIPMENT AND SUPPLIES

Practice address

131 Church Rd
Suite 3G
North Wales, PA 19454-4141

Phone

(267) 480-7171

NPI assigned

Jan 26, 2009

Organization subpart

Yes

Parent organization

SERENGETTI CAPITAL INCAs reported in NPPES

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

Authorized official

Name

Dominic Nunu, MIS

Title

President

Phone

(888) 216-1544

Specialties & licenses 1

Addresses

Other names 1

• Serengetti Capital, Inc Other name

Part of

PA Medical Equipment and Supplies

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1265670483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CHURCH RD",
            "address_2": "SUITE 3G",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544141",
            "telephone_number": "267-480-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CHURCH RD",
            "address_2": "SUITE 3G",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544141",
            "telephone_number": "267-480-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENGETTI CAPITAL INC",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "NUNU",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-216-1544",
        "authorized_official_credential": "MIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "246034623/000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serengetti Capital, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in North Wales, PA
• Providers in North Wales, 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 Jan 26, 2009; 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.