NPIMap

Organization Active NPI

Prudentcaredme

  • Durable Medical Equipment & Medical Supplies
  • Havertown, PA
National Provider Identifier
1356338214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000006356 Issued in PA
Legal business name
PRUDENTCAREDME
Practice address
850 W Chester Pike
Suite 100
Havertown, PA 19083-4439
Phone
(610) 789-8100
NPI assigned
Oct 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Orji
Title
Manager
Phone
(610) 789-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000006356 PA Primary

Addresses

Primary practice location

850 W Chester Pike
Suite 100
Havertown, PA 19083-4439

Mailing address

850 West Chester Pike
Suite 100
Havertown, PA 19083
Phone (610) 789-8100

National Provider Directory

National Provider Directory

Locations

850 W Chester Pike
Ste 100
Havertown, PA 19083
Phone (610) 789-8100

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356338214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WEST CHESTER PIKE",
            "address_2": "SUITE 100",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W CHESTER PIKE",
            "address_2": "SUITE 100",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834439",
            "telephone_number": "610-789-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENTCAREDME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORJI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-789-8100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.