Organization Active NPI

Metagenes

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Hagerstown, MD
National Provider Identifier
1922432442
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
METAGENES
Practice address
22 N Mulberry St
Loft 210
Hagerstown, MD 21740-4870
Phone
(301) 660-6382
Fax
(240) 597-2174
NPI assigned
Sep 3, 2013
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mark De Fries
Title
Ceo
Phone
(301) 660-6382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

22 N Mulberry St
Loft 210
Hagerstown, MD 21740-4870

Mailing address

22 N Mulberry St
Loft 210
Hagerstown, MD 21740-4870
Phone (301) 660-6382

National Provider Directory

National Provider Directory

Locations

22 N Mulberry St
Ste 210
Hagerstown, MD 21740
Phone (301) 660-6382

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1922432442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N MULBERRY ST",
            "address_2": "LOFT 210",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404870",
            "telephone_number": "301-660-6382",
            "fax_number": "240-597-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MULBERRY ST",
            "address_2": "LOFT 210",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404870",
            "telephone_number": "301-660-6382",
            "fax_number": "240-597-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAGENES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "DE FRIES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-660-6382"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.