Organization Active NPI

National Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Medley, FL
National Provider Identifier
1528066628
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6644 Issued in FL
Legal business name
NATIONAL MEDICAL EQUIPMENT, INC
Practice address
12605 NW 115 Ave
B-102
Medley, FL 33178-3191
Phone
(305) 688-9991
Fax
(305) 687-4529
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mr. Antonio Raventos
Title
President
Phone
(305) 688-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6644 FL Primary

Addresses

Primary practice location

12605 NW 115 Ave
B-102
Medley, FL 33178-3191

Mailing address

12605 NW 115 Ave
B-102
Medley, FL 33178-3191
Phone (305) 688-9991

Other identifiers 1

IdentifierTypeStateIssuer
027172100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038533 FL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & Equipment 1153448899 Practice locations: Medley, FL

National Provider Directory

National Provider Directory

Locations

12605 NW 115th Ave
#B102
Medley, FL 33178
Phone (305) 688-9991

12605 NW 115th Ave
Unit 102
Medley, FL 33178
Phone (305) 688-9991

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1528066628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 NW 115 AVE",
            "address_2": "B-102",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331783191",
            "telephone_number": "305-688-9991",
            "fax_number": "305-687-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 NW 115 AVE",
            "address_2": "B-102",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331783191",
            "telephone_number": "305-688-9991",
            "fax_number": "305-687-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "RAVENTOS",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-688-9991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "6644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027172100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.