Organization Active NPI

Alen Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1497836092
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALEN MEDICAL SUPPLY INC.
Practice address
5726 Rising Sun Ave
Philadelphia, PA 19120-1627
Phone
(215) 742-2115
Fax
(215) 742-3064
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Samuil Lukovsky
Title
President
Phone
(267) 269-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PA Primary

Addresses

Primary practice location

5726 Rising Sun Ave
Philadelphia, PA 19120-1627

Mailing address

5726 Rising Sun Ave
Philadelphia, PA 19120-1627
Phone (215) 742-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930021155 PA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 3173726247 Practice locations: Philadelphia, 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
Alen Medical Supply Inc5726 Rising Sun Ave, Philadelphia, PA 19120-1627(215) 742-2115 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ne… Does not accept assignmentParticipating since Oct 25, 2006

National Provider Directory

National Provider Directory

Locations

5726 Rising Sun Ave
Philadelphia, PA 19120
Phone (215) 742-2115

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497836092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201627",
            "telephone_number": "215-742-2115",
            "fax_number": "215-742-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201627",
            "telephone_number": "215-742-2115",
            "fax_number": "215-742-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEN MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUKOVSKY",
        "authorized_official_first_name": "SAMUIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-269-1946"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.