Active NPI
Medex, LLC
Doing business as Medical Express
- Oxygen Equipment & Supplies (DME)
- Southampton, PA
National Provider Identifier
1487651378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 1000002645
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002815 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0017452390003 | Medicaid | PA |
Other names 1
- MEDICAL EXPRESS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003421 | PA | DME Supplier - Medical Supply Company With Respiratory Therapist | 3577684018 | Practice locations: Southampton, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medex LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.