Organization Active NPI

Mobility Express of Scranton, Inc

  • Durable Medical Equipment & Medical Supplies
  • Scranton, PA
National Provider Identifier
1407875420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOBILITY EXPRESS OF SCRANTON, INC
Practice address
405 S Main Ave
Scranton, PA 18504-2266
Phone
(570) 344-6555
Fax
(570) 344-2699
NPI assigned
Jul 19, 2006
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
Lou Dibileo II
Title
Owner
Phone
(570) 344-6555

Specialties & licenses 1

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

Addresses

Primary practice location

405 S Main Ave
Scranton, PA 18504-2266

Mailing address

405 S Main Ave
Scranton, PA 18504-2266

Other identifiers 1

IdentifierTypeStateIssuer
0078245180002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Mobility Express2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407875420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042266",
            "telephone_number": "570-344-6555",
            "fax_number": "570-344-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY EXPRESS OF SCRANTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIBILEO",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-344-6555",
        "authorized_official_name_suffix": "II"
    },
    "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": "0078245180002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, 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.