NPIMap

Organization Active NPI

Photomedex, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Horsham, PA
National Provider Identifier
1780002576
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44415 Issued in CA
Legal business name
PHOTOMEDEX, INC.
Practice address
100 Lakeside Dr
Suite 100
Horsham, PA 19044-2316
Phone
(215) 619-3600
Fax
(215) 619-3209
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Michele Pupach
Title
Corporate Counsel
Phone
(215) 619-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 44415 CA Primary

Addresses

Primary practice location

100 Lakeside Dr
Suite 100
Horsham, PA 19044-2316

Mailing address

100 Lakeside Dr
Suite 100
Horsham, PA 19044-2316
Phone (215) 619-3600

National Provider Directory

National Provider Directory

Locations

100 Lakeside Dr
Ste 100
Horsham, PA 19044
Phone (215) 619-3600

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1780002576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKESIDE DR",
            "address_2": "SUITE 100",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442316",
            "telephone_number": "215-619-3600",
            "fax_number": "215-619-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKESIDE DR",
            "address_2": "SUITE 100",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442316",
            "telephone_number": "215-619-3600",
            "fax_number": "215-619-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOTOMEDEX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "PUPACH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "215-619-3600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.