Main Line Medical Supplies

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

5003351 Issued in NJ

Legal business name

MAIN LINE MEDICAL SUPPLIES

Practice address

2635 Westfield Ave
Camden, NJ 08105-1132

Phone

(856) 365-1211

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Robert Bernhardt

Title

Ceo

Phone

(610) 734-0800

Specialties & licenses 1

Addresses

Tax ID family

Main Line Medical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Main Line Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Blackwood, NJ
  • NPI 1619326303
  NPD tax ID

Locations

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1770912511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 69TH ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824213",
            "telephone_number": "610-734-0800",
            "fax_number": "610-734-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WESTFIELD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051132",
            "telephone_number": "856-365-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-734-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NJ",
            "license": "5003351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magic Dental Camden, LLC
• Gretchen Magnani, M.D.
• Mohammed Khalid Mahdi, MBCHB
• James Michael Mahon III, CRNA DNP
• Leisha A Mahoney, CNM
• Vincent C Maiorino, DO
• Rosemarie E Maitland, APN
• Muhammad Majeed, M.D.
• Catherine Kendall Major, MD
• Corey John Makos, RN

• Oxygen Equipment & Supplies (DME) in Camden, NJ
• Providers in Camden, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.