Organization Active NPI

Sage Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Downingtown, PA
National Provider Identifier
1811550569
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAGE MEDICAL SUPPLY
Practice address
4301 W Lincoln Hwy
Downingtown, PA 19335-2226
Phone
(484) 364-3039
Fax
(610) 471-0791
NPI assigned
Apr 18, 2019
Last updated
Apr 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SAGE MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mr. Robert K Robinson
Title
Operations Manager
Phone
(484) 883-1665

Specialties & licenses 1

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

Addresses

Primary practice location

4301 W Lincoln Hwy
Downingtown, PA 19335-2226

Mailing address

4301 W Lincoln Hwy
Downingtown, PA 19335-2226
Phone (484) 364-3039

Other identifiers 1

IdentifierTypeStateIssuer
1035381730001MedicaidPA

National Provider Directory

National Provider Directory
Part of
Sage Medical Supply

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1811550569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W LINCOLN HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352226",
            "telephone_number": "484-364-3039",
            "fax_number": "610-471-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W LINCOLN HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352226",
            "telephone_number": "484-364-3039",
            "fax_number": "610-471-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE MEDICAL SUPPLY",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "484-883-1665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035381730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.