Main Line Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAIN LINE MEDICAL SUPPLIES INC

Practice address

303 S 69TH St
Upper Darby, PA 19082-4213

Phone

(610) 734-0800

Fax

(610) 734-1326

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Robert Bernhardt

Title

Ceo

Phone

(610) 734-0800

Specialties & licenses 1

Addresses

Other identifiers 8

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Bonel Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1053338921

  Member Of

  NPD member
• Ecu-Med Inc.

  • Oxygen Equipment & Supplies (DME)
  • Baltimore, MD
  • NPI 1083651160

  Member Of

  NPD member

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1437211331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 69TH ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824213",
            "telephone_number": "610-734-0800",
            "fax_number": "610-734-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 69TH ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824213",
            "telephone_number": "610-734-0800",
            "fax_number": "610-734-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-734-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "133387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "233328",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009403370003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1014794",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2720",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC   KEYSTONEPC",
            "identifier": "0002645000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEATH",
            "identifier": "10419",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "00940337-02",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.