South Eastern Pennsylvania Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3000007911 Issued in PA

Legal business name

SOUTH EASTERN PENNSYLVANIA MEDICAL SUPPLIES

Practice address

533 E Cabot St
Philadelphia, PA 19125-3301

Phone

(121) 634-4250

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Culmer

Title

Owner/Operator

Phone

(215) 634-4250

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sepamed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sepamed, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1851424394
  NPD tax ID

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1609060771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E CABOT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253301",
            "telephone_number": "121-634-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E CABOT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253301",
            "telephone_number": "121-634-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EASTERN PENNSYLVANIA MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "CULMER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "12156344250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000007911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008701550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.