NPIMap

Organization Active NPI

Kingsmount Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1710319181
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000008378 Issued in PA
Legal business name
KINGSMOUNT INC
Doing business as
Foot Comfort Center - Kingsmount Inc.
Practice address
2917 N 5TH St
Philadelphia, PA 19133-2802
Phone
(215) 739-7463
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Sofya Tamarkin
Title
Manager
Phone
(215) 676-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000008378 PA Primary

Addresses

Primary practice location

2917 N 5TH St
Philadelphia, PA 19133-2802

Mailing address

9808 Bustleton Ave
Philadelphia, PA 19115-2190
Phone (215) 676-7463

Other names 1

  • Foot Comfort Center - Kingsmount Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033043 PA DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 2961513346 1 other NPI on this enrollment
Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kingsmount Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6204 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-7463

4733 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-7463

1001 Market St
Unit 4312
Philadelphia, PA 19107
Phone (215) 733-9902

1335 W Tabor Rd
Ste 107
Philadelphia, PA 19141
Phone (215) 548-7463

303 Market St
Philadelphia, PA 19106
Phone (215) 733-9902

9808 Bustleton Ave
Ste De
Philadelphia, PA 19115
Phone (215) 676-7463

6113 Woodland Ave
Philadelphia, PA 19142
Phone (215) 724-7464

1380 Easton Rd
#11
Warrington, PA 18976
Phone (215) 491-7467

1380 Easton Rd
Ste 11
Warrington, PA 18976
Phone (215) 491-2436

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1710319181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152190",
            "telephone_number": "215-676-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "215-739-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSMOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "TAMARKIN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-676-7463"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000008378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Comfort Center - Kingsmount Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.