Organization Active NPI

Allied Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
National Provider Identifier
1548709264
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
S6636593 Issued in VA
Legal business name
ALLIED MEDICAL SUPPLY
Practice address
5565 Riverton CT
Woodbridge, VA 22193-3706
Phone
(571) 575-3795
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Victoria Maduakor
Title
Administrator
Phone
(571) 575-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X S6636593 VA Primary

Addresses

Primary practice location

5565 Riverton CT
Woodbridge, VA 22193-3706

Mailing address

5565 Riverton CT
Woodbridge, VA 22193-3706
Phone (571) 575-3795

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1548709264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 RIVERTON CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933706",
            "telephone_number": "571-575-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 RIVERTON CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933706",
            "telephone_number": "571-575-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MADUAKOR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-575-3795"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "S6636593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.