Organization Active NPI

Sepamed, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1851424394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
201898 Issued in PA
Legal business name
SEPAMED, INC.
Practice address
9539 Bustleton Ave
Philadelphia, PA 19115-3801
Phone
(215) 677-1667
Fax
(215) 677-1669
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerome Culmer
Title
Owner
Phone
(215) 677-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 201898 PA Primary

Addresses

Primary practice location

9539 Bustleton Ave
Philadelphia, PA 19115-3801

Mailing address

538 E Cabot St
Philadelphia, PA 19125-3302
Phone (610) 563-7267

Other identifiers 1

IdentifierTypeStateIssuer
1008701550001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Sepamed Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851424394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 E CABOT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253302",
            "telephone_number": "610-563-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9539 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "215-677-1667",
            "fax_number": "215-677-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPAMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULMER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-677-1667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "201898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008701550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.