Active NPI
Mobility Express of Scranton, Inc.
- Durable Medical Equipment & Medical Supplies
- Scranton, PA
National Provider Identifier
1689675217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MOBILITY EXPRESS OF SCRANTON, INC.
- Practice address
- 405 S Main Ave
Scranton, PA 18504-2266 - Phone
- (570) 344-6555
- Fax
- (570) 344-2699
- NPI assigned
- Aug 4, 2005
- 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. Lou Dibileo Jr.
- Title
- Owner
- Phone
- (570) 344-6555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
405 S Main Ave
Scranton, PA 18504-2266
Mailing address
405 S Main Ave
Scranton, PA 18504-2266
Phone (570) 344-6555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040041800 | Other | PA | BLACK LUNG PROVIDER |
| 601 362 100 | Other | PA | PA DEPT OF LABOR PROVIDER |
| 0078245180002 | Medicaid | PA |
Other names 1
- Mobility Express
National Provider Directory
National Provider Directory- Tax ID family
- Mobility Express
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Scranton, PA
- NPI 1407875420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1689675217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042266",
"telephone_number": "570-344-6555",
"fax_number": "570-344-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042266",
"telephone_number": "570-344-6555",
"fax_number": "570-344-2699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY EXPRESS OF SCRANTON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "DIBILEO",
"authorized_official_first_name": "LOU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-344-6555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG PROVIDER",
"identifier": "040041800",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPT OF LABOR PROVIDER",
"identifier": "601 362 100",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078245180002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobility Express",
"code": "5",
"type": "Other Name"
}
]
}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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.