Organization Active NPI

Gabriel Medical Equipment and Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1285042267
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000008526 Issued in PA
Legal business name
GABRIEL MEDICAL EQUIPMENT AND SUPPLY, INC
Practice address
3260 Cottman Ave
Philadelphia, PA 19149-1526
Phone
(267) 686-4713
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Gabriel Patrick Lorden
Title
Owner
Phone
(267) 686-4713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000008526 PA Primary

Addresses

Primary practice location

3260 Cottman Ave
Philadelphia, PA 19149-1526

Mailing address

3260 Cottman Ave
Philadelphia, PA 19149-1526

Other identifiers 1

IdentifierTypeStateIssuer
6000008526OtherPACERTIFICATE OF REGISTRATION WITH PA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1285042267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491526",
            "telephone_number": "267-686-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL MEDICAL EQUIPMENT AND SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LORDEN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-686-4713"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000008526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATION WITH PA DEPARTMENT OF HEALTH",
            "identifier": "6000008526",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 2015; 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.