NPIMap

Organization Active NPI

Lymphedema Place, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hermitage, PA
National Provider Identifier
1821322009
Registry record updated Jan 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000007482 Issued in PA
Legal business name
LYMPHEDEMA PLACE, LLC
Practice address
689 N Hermitage Rd
Ste 4
Hermitage, PA 16148-3203
Phone
(724) 931-5555
Fax
(866) 792-8501
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2011

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

Authorized official

Name
Mr. Nicolas A Rodriguez
Title
President
Phone
(724) 931-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000007482 PA Primary

Addresses

Primary practice location

689 N Hermitage Rd
Ste 4
Hermitage, PA 16148-3203

Mailing address

1631 Roosevelt Rd
Pittsburgh, PA 15237-1048
Phone (724) 931-5555

Other identifiers 1

IdentifierTypeStateIssuer
1024655640001MedicaidPA

National Provider Directory

National Provider Directory

Locations

689 N Hermitage Rd
Ste 4
Hermitage, PA 16148
Phone (724) 931-5555

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293926400000",
    "number": "1821322009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ROOSEVELT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371048",
            "telephone_number": "724-931-5555",
            "fax_number": "866-792-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 N HERMITAGE RD",
            "address_2": "STE 4",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483203",
            "telephone_number": "724-931-5555",
            "fax_number": "866-792-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2011-01-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-931-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024655640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; 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.