Nichole Medical Equipment & Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NICHOLE MEDICAL EQUIPMENT & SUPPLY, INC

Practice address

521 Plymouth Rd
Ste 120
Plymouth Meeting, PA 19462-1638

Phone

(267) 330-5905

NPI assigned

May 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dominic P Rotella

Title

President/Owner

Phone

(267) 330-9051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1689677130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PLYMOUTH RD",
            "address_2": "STE 120",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621638",
            "telephone_number": "267-330-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PLYMOUTH RD",
            "address_2": "STE 120",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621638",
            "telephone_number": "267-330-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE MEDICAL EQUIPMENT & SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-28",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "267-330-9051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong Nguyen
• Lan Nguyen, RN
• Tram Nguyen, CRNP
• Truc Nguyen
• Phyllis Niblack
• Gordon Nicholson, LPN
• Denisa Nicolae, LPN
• Elizabeth Niedbala
• Jason Matthew Nielander, LPN
• Nancy Nigrin, LPN

• Durable Medical Equipment & Medical Supplies in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.