Organization Active NPI

Direct Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Plymouth, MI
National Provider Identifier
1639214786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
DIRECT MEDICAL EQUIPMENT
Practice address
9282 General Dr
Suite # 150
Plymouth, MI 48170-4694
Phone
(734) 451-1414
Fax
(734) 451-0404
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Anthony W Pollicella
Title
President
Phone
(734) 451-1414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI
Customized Equipment (DME) 332BC3200X MI
Oxygen Equipment & Supplies (DME) 332BX2000X MI Primary

Addresses

Primary practice location

9282 General Dr
Suite # 150
Plymouth, MI 48170-4694

Mailing address

9282 General Dr
Suite # 150
Plymouth, MI 48170-4694
Phone (734) 451-1414

Other identifiers 1

IdentifierTypeStateIssuer
4479118MedicaidMI

National Provider Directory

National Provider Directory

Locations

9282 General Dr
Ste 150
Plymouth, MI 48170
Phone (734) 451-1414

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639214786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9282 GENERAL DR",
            "address_2": "SUITE # 150",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704694",
            "telephone_number": "734-451-1414",
            "fax_number": "734-451-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9282 GENERAL DR",
            "address_2": "SUITE # 150",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704694",
            "telephone_number": "734-451-1414",
            "fax_number": "734-451-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "POLLICELLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-451-1414"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4479118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.