Organization Active NPI

Metro Medical Supply LLC

  • Dialysis Equipment & Supplies (DME)
  • Brandywine, MD
National Provider Identifier
1902248263
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
METRO MEDICAL SUPPLY LLC
Practice address
14528 Owings Ave
Brandywine, MD 20613-5907
Phone
(202) 256-2799
Fax
(301) 782-4164
NPI assigned
Jul 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Micheal CunninghamNPI 1891137204
Title
Owner
Phone
(202) 256-2799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

14528 Owings Ave
Brandywine, MD 20613-5907

Mailing address

14528 Owings Ave
Brandywine, MD 20613-5907
Phone (202) 256-2799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1902248263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14528 OWINGS AVE",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135907",
            "telephone_number": "202-256-2799",
            "fax_number": "301-782-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14528 OWINGS AVE",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135907",
            "telephone_number": "202-256-2799",
            "fax_number": "301-782-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-256-2799"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.