Organization Active NPI

Delmarva Disability, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sharptown, MD
National Provider Identifier
1407140320
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DELMARVA DISABILITY, LLC
Practice address
801 State St
Sharptown, MD 21861-1104
Phone
(410) 883-3291
Fax
(410) 883-2131
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Jeffrey James Van Zandt
Title
Owner
Phone
(410) 726-2875

Specialties & licenses 1

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

Addresses

Primary practice location

801 State St
Sharptown, MD 21861-1104

Mailing address

805 State St
P.O. Box 247
Sharptown, MD 21861-1104
Phone (410) 883-3291

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1407140320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 STATE ST",
            "address_2": "P.O. BOX 247",
            "city": "SHARPTOWN",
            "state": "MD",
            "postal_code": "218611104",
            "telephone_number": "410-883-3291",
            "fax_number": "410-883-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STATE ST",
            "city": "SHARPTOWN",
            "state": "MD",
            "postal_code": "218611104",
            "telephone_number": "410-883-3291",
            "fax_number": "410-883-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA DISABILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "VAN ZANDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-726-2875"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharptown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.