Penn York Medical Supplies Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PENN YORK MEDICAL SUPPLIES INC.

Practice address

69 Main St
Binghamton, NY 13905-2914

Phone

(607) 773-3622

Fax

(670) 773-0063

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. D Rexford Maxey

Title

President

Phone

(607) 773-3622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437152725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052914",
            "telephone_number": "607-773-3622",
            "fax_number": "670-773-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052914",
            "telephone_number": "607-773-3622",
            "fax_number": "670-773-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN YORK MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "REXFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-773-3622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Joy Peck, PMHNP
• Pediatric Physical Therapy Services
• Jonathan James Pelc
• Theresa Pelzel Poklemba, PHARMD
• Stacey A Pendell, PNP-BC
• Shawn Michael Pepples, CASAC-T
• Melanie B Peranich, RD, CDN, CDE
• Doris Belle Pereske, A.C.S.W.
• Signa Latoya Perkins, MD
• Valerie Perkoski, R.D.

• Customized Equipment (DME) in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Customized Equipment (DME) in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.