Individual provider Active NPI

Rayaan Dhungel

  • Durable Medical Equipment & Medical Supplies
  • Scranton, PA
National Provider Identifier
1609488485
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
30729570 Issued in PA
Practice address
814 Green Ridge St
Scranton, PA 18509-1908
Phone
(570) 316-5085
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 30729570 PA Primary

Addresses

Primary practice location

814 Green Ridge St
Scranton, PA 18509-1908

Mailing address

816 Green Ridge St # 1
Scranton, PA 18509-1908
Phone (570) 316-5085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30729570PAMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1609488485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GREEN RIDGE ST # 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091908",
            "telephone_number": "570-316-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 GREEN RIDGE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091908",
            "telephone_number": "570-316-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUNGEL",
        "first_name": "RAYAAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "30729570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.