Organization Active NPI

Philip a Walker

Doing business as Northeast Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Stamford, CT
National Provider Identifier
1285854588
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHILIP A WALKER
Doing business as
Northeast Durable Medical Equipment
Practice address
1069 E Main St
Suite 308
Stamford, CT 06902-4311
Phone
(203) 588-9323
Fax
(203) 588-9325
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Philip A Walker I
Title
President
Phone
(203) 588-9323

Specialties & licenses 1

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

Addresses

Primary practice location

1069 E Main St
Suite 308
Stamford, CT 06902-4311

Mailing address

P.O. Box 153
Greenwich, CT 06836-0153
Phone (203) 588-9323

Other identifiers 1

IdentifierTypeStateIssuer
004271491MedicaidCT

Other names 1

  • NORTHEAST DURABLE MEDICAL EQUIPMENT Doing business as

National Provider Directory

National Provider Directory

Locations

1069 E Main St
Ste 308
Stamford, CT 06902
Phone (203) 588-9323

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1285854588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 153",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068360153",
            "telephone_number": "203-588-9323",
            "fax_number": "203-588-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 E MAIN ST",
            "address_2": "SUITE 308",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024311",
            "telephone_number": "203-588-9323",
            "fax_number": "203-588-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A WALKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-588-9323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004271491",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST DURABLE MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.