Emmanuel Medical Equipment Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3662998 Issued in PA

Legal business name

EMMANUEL MEDICAL EQUIPMENT SUPPLY

Practice address

1986 Merlin Rd
Philadelphia, PA 19116-3844

Phone

(215) 934-5181

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ninan Koshy

Title

Manager

Phone

(215) 934-5181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477699759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 MERLIN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163844",
            "telephone_number": "215-934-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 MERLIN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163844",
            "telephone_number": "215-934-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "NINAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-934-5181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3662998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniella Nicole Emmer

• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, 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 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.