Main Line Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0718317 Issued in NJ

Legal business name

MAIN LINE MEDICAL SUPPLIES INC

Practice address

460 N Black Horse Pike
Blackwood, NJ 08012-3037

Phone

(610) 734-0800

Fax

(610) 352-6711

NPI assigned

Jun 3, 2016

Last updated

Jun 6, 2016By 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

Mr. Benjamin Bernhardt

Title

Ceo

Phone

(610) 734-0800

Specialties & licenses 1

Addresses

Tax ID family

Main Line Medical Supplies2 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.

• Main Line Medical Supplies

  • Oxygen Equipment & Supplies (DME)
  • Camden, NJ
  • NPI 1770912511
  NPD tax ID

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1619326303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 69TH ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824213",
            "telephone_number": "610-734-0800",
            "fax_number": "610-734-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123037",
            "telephone_number": "610-734-0800",
            "fax_number": "610-352-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-734-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0718317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.