Active NPI
R & V Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
National Provider Identifier
1518990654
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B0000X
- Legal business name
- R & V MEDICAL SUPPLY, LLC
- Practice address
- 1420 Walnut St
Suite 1107
Philadelphia, PA 19102-4017 - Phone
- (215) 735-0757
- NPI assigned
- Jul 9, 2006
- Last updated
- Apr 1, 2010
- 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
- Mr. Robert M Saul
- Title
- Owner
- Phone
- (215) 873-9181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B0000X | PA | Primary |
Addresses
Primary practice location
1420 Walnut St
Suite 1107
Philadelphia, PA 19102-4017
Mailing address
1420 Walnut St
Suite 1107
Philadelphia, PA 19102-4017
Phone (215) 735-0757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1420 Walnut St
Ste 1107
Philadelphia, PA 19102
Phone (215) 735-0757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1518990654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WALNUT ST",
"address_2": "SUITE 1107",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024017",
"telephone_number": "215-735-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WALNUT ST",
"address_2": "SUITE 1107",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024017",
"telephone_number": "215-735-0757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & V MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "SAUL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-873-9181",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "332B0000X",
"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 Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.