Organization Active NPI

Hazleton Oxygen Medical Equipment Inc.

  • Oxygen Equipment & Supplies (DME)
  • Hazleton, PA
National Provider Identifier
1659365963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
82373635 Issued in PA
Legal business name
HAZLETON OXYGEN MEDICAL EQUIPMENT INC.
Practice address
1512B N Church St
Hazleton, PA 18202-9503
Phone
(570) 459-4300
Fax
(570) 459-2100
NPI assigned
Sep 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark A. Scarcella
Title
President
Phone
(570) 459-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 82373635 PA Primary

Addresses

Primary practice location

1512B N Church St
Hazleton, PA 18202-9503

Mailing address

1512B N Church St
Hazleton, PA 18202-9503
Phone (570) 459-4300

Other identifiers 2

IdentifierTypeStateIssuer
0019172170001MedicaidPA
1423015OtherPABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659365963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512B N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029503",
            "telephone_number": "570-459-4300",
            "fax_number": "570-459-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512B N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029503",
            "telephone_number": "570-459-4300",
            "fax_number": "570-459-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON OXYGEN MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCARCELLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-459-4300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "82373635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019172170001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1423015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.