Organization Active NPI

Nexus Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Willow Grove, PA
National Provider Identifier
1376537159
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
80797191 Issued in PA
Legal business name
NEXUS MEDICAL INC
Practice address
2255 Computer Rd
Unit a
Willow Grove, PA 19090-1706
Phone
(215) 788-4004
Fax
(215) 788-4065
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mr. Nathan Niles
Title
President
Phone
(215) 788-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 80797191 PA Primary

Addresses

Primary practice location

2255 Computer Rd
Unit a
Willow Grove, PA 19090-1706

Mailing address

2255 Computer Rd
Unit a
Willow Grove, PA 19090-1706
Phone (215) 788-4004

Other identifiers 1

IdentifierTypeStateIssuer
0016741190005MedicaidPA

National Provider Directory

National Provider Directory

Locations

2255 Computer Rd
Unit A
Willow Grove, PA 19090
Phone (215) 788-4004

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1376537159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 COMPUTER RD",
            "address_2": "UNIT A",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901706",
            "telephone_number": "215-788-4004",
            "fax_number": "215-788-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 COMPUTER RD",
            "address_2": "UNIT A",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901706",
            "telephone_number": "215-788-4004",
            "fax_number": "215-788-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-788-4004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "80797191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016741190005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.