PRO MEDICAL EAST LLC NPI 1841291200

NPI Information

NPI: 1841291200
Provider Name: PRO MEDICAL EAST, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7165 OGONTZ AVE
PHILADELPHIA, PA
ZIP 19138
Phone: (732) 657-9600
Get Directions

PRO MEDICAL EAST, LLC is a durable medical equipment medical supplies in Philadelphia, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PRO MEDICAL EAST, LLC NPI is 1841291200. The provider is registered as an organization entity type.

The provider's business location address is:

7165 OGONTZ AVE
PHILADELPHIA, PA
ZIP 19138-047
Phone: (732) 657-9600

The provider's authorized official is Alan Berman .
The authorized official title is Ceo and has the following contact phone number (732) 348-1119.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 2/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90003799	MEDICAID	KENTUCKY
2	1861130	MEDICAID	PENNSYLVANIA
3	010145988	MEDICAID	VIRGINIA
4	P2723785	OTHER		AETNA
5	2272955	MEDICAID	OHIO
6	41731600	MEDICAID	WISCONSIN
7	642648400	MEDICAID	MINNESOTA
8	8200594	OTHER		EVERCARE
9	1163297	OTHER	MISSOURI	MERCY HEALTH PLANS - MO
10	226221	OTHER	PENNSYLVANIA	ADVANTRA CARELINK
11	5164	OTHER	NEW JERSEY	AMERIHEALTH
12	540H104220	OTHER	MICHIGAN	MICHIGAN BC/BS
13	54432383	MEDICAID	COLORADO
14	625683800	MEDICAID	MISSOURI
15	8704805	MEDICAID	NEW JERSEY
16	0005164000	OTHER	PENNSYLVANIA	IBX
17	4344350	MEDICAID	MICHIGAN
18	90171	OTHER	MINNESOTA	MINN BC/BS
19	DM1174	MEDICAID	SOUTH CAROLINA
20	000246014	OTHER	PENNSYLVANIA	HIGHMARK BC
21	246014	OTHER		HIGHMARK BC/BS
22	629315	OTHER	VIRGINIA	ANTHEM BC OF VIRGINIA
23	P2723785	OTHER	PENNSYLVANIA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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