MEDICARE: AUTHORIZED PAYBRIDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1154250009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTHORIZED PAYBRIDGE

Provider Business Mailing Address
First Line	:	4335 SHELMIRE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-3624
Country	:	US
Telephone Number	:	714-735-8533
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 WELLINGTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1617
Country	:	US
Telephone Number	:	714-735-8533
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. IZHAR KHAN
Credential	:
Telephone Number	:	714-735-8533

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “AUTHORIZED PAYBRIDGE ” Practice Location

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