Active NPI
Cambridge Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Cambridge, MA
National Provider Identifier
1629040324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CAMBRIDGE MEDICAL SUPPLY INC
- Practice address
- 799 Concord Ave
Cambridge, MA 02138-1048 - Phone
- (617) 876-3810
- Fax
- (617) 864-8412
- NPI assigned
- Feb 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy James Hoffman
- Title
- Ceo
- Phone
- (617) 876-3810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
799 Concord Ave
Cambridge, MA 02138-1048
Mailing address
218 O'Brien Highway
Cambridge, MA 02141
Phone (617) 876-3810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508512 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050442 | MA | DME Supplier - Medical Supply Company | 0042337628 | Practice locations: Cambridge, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cambridge Medical Supply Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Walkers|Enteral Nutrients|Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Respiratory Assist Devices|Ventilators Accessories… | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1629040324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 O'BRIEN HIGHWAY",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02141",
"telephone_number": "617-876-3810",
"fax_number": "617-864-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381048",
"telephone_number": "617-876-3810",
"fax_number": "617-864-8412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-06",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-876-3810",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508512",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
- Cambridge Health Alliance Elder Service Plan
- Cambridge Health Alliance Physicians Organization
- Cambridge Health Associates Inc
- Cambridge Hosp Prof Ser
- Cambridge Institute for Psychotherapy Services and Education, Cipse
- Cambridge Neurosurgical Spinecare LLC
- Cambridge Oral Surgery PC
- Cambridge Orthodontics
- Cambridge Otolaryngology
- Cambridge Pediatric Dental Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.