MEDDOC CENTRAL LLC (NPI# 1396268371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396268371 |
| Entity Type | Organization |
| Organization Name | MEDDOC CENTRAL LLC |
| Other Organization Name | DENTAL SLEEP SOLUTIONS OF DELAWARE |
| Practice Address |
5912 Ridge Ave Philadelphia PA 19128-1639 |
| Mailing Address |
Po Box 112 Fairplay MD 21733-0112 |
| Practice Telephone | 4843900378 |
| Mailing Telephone | 3015736858 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | JOHN GVODAS JR. (MANAGER) |
| Authorized Official Telephone | 4843900378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | G1-0001317 | DE | Suppliers |
| Other Name | Type Code |
|---|---|
| Dental Sleep Solutions of Delaware | Doing Business As Name - Organization |
| Street Address |
5912 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265562946 | Joseph M. Brogan | Dentist | 5912 Ridge Ave, Philadelphia, PA 19128-1639 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1205375706 | D.d. Daughters Lace Wig Beautique | Prosthetic/Orthotic Supplier | 424 W Chew Ave, Salon, 1st Floor, Philadelphia, PA 19120-2356 | 2017-02-16 |
| 1487191862 | Northeast Orthotics Inc. | Prosthetic/Orthotic Supplier | 3223 N Broad St Ste 150, Philadelphia, PA 19140-5007 | 2017-01-24 |
| 1134482169 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 1500 S Christopher Columbus Blvd, Floor 2, Philadelphia, PA 19147-5504 | 2012-06-25 |
| 1366681470 | Best Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 13023 Bustleton Ave, Philadelphia, PA 19116-1672 | 2009-02-12 |
| 1932379765 | Cocco Enterprises Inc | Prosthetic/Orthotic Supplier | 2745 W. Passyunk Ave, Philadelphia, PA 19145-4012 | 2008-03-07 |
| 1942402003 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | Novacare Complex, Two Novacare Way, Philadelphia, PA 19145 | 2007-06-01 |
| 1831314822 | Lenny's Pedorthics & Orthopedics Inc. | Prosthetic/Orthotic Supplier | 256 S 10th St, Philadelphia, PA 19107-6776 | 2007-04-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.