NPIMap

Organization Active NPI

Pro Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntingdon Valley, PA
National Provider Identifier
1316246358
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000006212 Issued in PA
Legal business name
PRO MEDICAL SUPPLIES, INC.
Practice address
1800 Byberry Rd
Unit 905
Huntingdon Valley, PA 19006-3518
Phone
(215) 938-0200
Fax
(215) 938-9309
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. Jake Sztejman
Title
VP
Phone
(215) 938-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000006212 PA Primary

Addresses

Primary practice location

1800 Byberry Rd
Unit 905
Huntingdon Valley, PA 19006-3518

Mailing address

1800 Byberry Rd
Unit 905
Huntingdon Valley, PA 19006-3518
Phone (215) 938-0200

Other names 1

  • ProMed Specialties Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Byberry Rd
Ste 905
Huntingdon Valley, PA 19006
Phone (215) 938-0200

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1316246358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "UNIT 905",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-938-0200",
            "fax_number": "215-938-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "UNIT 905",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-938-0200",
            "fax_number": "215-938-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "SZTEJMAN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "215-938-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMed Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 16, 2011; 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.