Organization Active NPI

Medex, LLC

Doing business as Medical Express

  • Oxygen Equipment & Supplies (DME)
  • Southampton, PA
National Provider Identifier
1487651378
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1000002645 Issued in PA
Legal business name
MEDEX, LLC
Doing business as
Medical Express
Practice address
975 Jaymor Rd Ste 6
Southampton, PA 18966-3854
Phone
(215) 942-9800
Fax
(215) 942-7711
NPI assigned
Jul 7, 2005
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Stephen Fisher
Title
President
Phone
(215) 322-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1000002645 PA Primary

Addresses

Primary practice location

975 Jaymor Rd Ste 6
Southampton, PA 18966-3854

Mailing address

975 Jaymor Rd Ste 6
Southampton, PA 18966-3854
Phone (215) 942-9800

Other identifiers 2

IdentifierTypeStateIssuer
002815OtherPAINDEPENDENCE BLUE CROSS
0017452390003MedicaidPA

Other names 1

  • MEDICAL EXPRESS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003421 PA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3577684018 Practice locations: Southampton, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Medex LLC975 Jaymor Rd, Southampton, PA 18966-3854(215) 942-9800 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Ma… Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

230 US Highway 13
Bristol, PA 19007

975 Jaymor Rd
Ste 6
Southampton, PA 18966
Phone (215) 322-9771

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1487651378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JAYMOR RD STE 6",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663854",
            "telephone_number": "215-942-9800",
            "fax_number": "215-942-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JAYMOR RD STE 6",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663854",
            "telephone_number": "215-942-9800",
            "fax_number": "215-942-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-322-4103"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "1000002645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "002815",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017452390003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.