Independent Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000005585 Issued in PA

Legal business name

INDEPENDENT MOBILITY

Practice address

147 1/2 Amber LN
Wilkes Barre, PA 18702-6545

Phone

(570) 825-1277

Fax

(570) 825-1278

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

James Costanzo

Title

President

Phone

(570) 825-1277

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1730247669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 1/2 AMBER LN",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026545",
            "telephone_number": "570-825-1277",
            "fax_number": "570-825-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 1/2 AMBER LN",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026545",
            "telephone_number": "570-825-1277",
            "fax_number": "570-825-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-825-1277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000005585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000005585",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asad Inayat, MD
• Paige Inch
• Marc A Incitti, RN
• Independence Care of Scranton
• Independent Look
• Insight Health Corp
• Instride Ventures LLC
• Internal Medicine Associates of Wyoming Valley
• Interventional and Surgical Suites of Wilkes-Barre, LLC
• Meghan Iorio, ATC

• Durable Medical Equipment & Medical Supplies in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 Apr 15, 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.

Verify at the official NPI Registry.