Modern Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2007217822 Issued in DE

Legal business name

MODERN MOBILITY

Practice address

16 N Broad St
Middletown, DE 19709-1061

Phone

(302) 378-5433

Fax

(303) 378-5433

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth W. Boulden Jr.

Title

Owner

Phone

(302) 376-6721

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen G Anguish

  • Specialist
  • Middletown, DE
  • NPI 1184808172
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477755965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091061",
            "telephone_number": "302-378-5433",
            "fax_number": "303-378-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091061",
            "telephone_number": "302-378-5433",
            "fax_number": "303-378-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULDEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-376-6721",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "2007217822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Valerie Miller
• Mimi Healthcare Corp
• Mind in Order LLC
• Mindful Wellness Solutions, LLC
• Erin Mitchell, DPT
• Molecular Ozone Solutions, LLC (Phoenix Bay Mobile Health Clinic)
• James Albert Moles, PA
• Jazzmyn Molson, MS, NCC
• Helena Montaque, PH.D., LMFT
• Kelly Moody, RN

• Durable Medical Equipment & Medical Supplies in Middletown, DE
• Providers in Middletown, DE by specialty
• Durable Medical Equipment & Medical Supplies in Delaware

• 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.