Fairway Medical Services,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000004474 Issued in PA

Legal business name

FAIRWAY MEDICAL SERVICES,INC

Practice address

275 Kingsclere Dr
Southampton, PA 18966-3033

Phone

(267) 778-9193

Fax

(267) 778-9194

NPI assigned

Jul 17, 2009

Last updated

Feb 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stanley Moldover

Title

President

Phone

(267) 778-9193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1780814236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 KINGSCLERE DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663033",
            "telephone_number": "267-778-9193",
            "fax_number": "267-778-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 KINGSCLERE DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663033",
            "telephone_number": "267-778-9193",
            "fax_number": "267-778-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY MEDICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "MOLDOVER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-778-9193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000004474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Southampton, PA
• Providers in Southampton, 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 Feb 10, 2017; 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.