Organization Active NPI

Kingsmount Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1902139504
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINGSMOUNT INC
Doing business as
Foot Comfort Center
Practice address
2917 N 5TH St
Philadelphia, PA 19133-2802
Phone
(215) 739-7463
Fax
(215) 739-7463
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Sofya Tamarkin, C. PED,, MBA
Title
Manager
Phone
21530033355

Specialties & licenses 1

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

Addresses

Primary practice location

2917 N 5TH St
Philadelphia, PA 19133-2802

Mailing address

9808 Bustleton Ave
Philadelphia, PA 19115-2190
Phone (215) 676-7463

Other names 1

  • Foot Comfort Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033043 PA DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 2961513346 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2917 N 5th St
Philadelphia, PA 19133
Phone (215) 739-7463

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1902139504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152190",
            "telephone_number": "215-676-7463",
            "fax_number": "215-676-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "215-739-7463",
            "fax_number": "215-739-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSMOUNT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "TAMARKIN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "21530033355",
        "authorized_official_credential": "C. PED,, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Comfort Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.