Healthcare Provider Details

I. General information

NPI: 1144209792
Provider Name (Legal Business Name): AMERICAN MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 VETERANS HWY UNIT C
BRISTOL PA
19007-1605
US

IV. Provider business mailing address

2921 VETERANS HWY UNIT C
BRISTOL PA
19007-1605
US

V. Phone/Fax

Practice location:
  • Phone: 215-788-1919
  • Fax: 215-788-3499
Mailing address:
  • Phone: 215-788-1919
  • Fax: 215-788-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier7562209
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer
# 2
Identifier297294
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE CROSS/SHIEL
# 3
Identifier32359
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA
# 4
Identifier0002966000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPERSONAL CHOICE
# 5
Identifier0016949800004
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: ANTHONY GERVASIO
Title or Position: PRESIDENT
Credential:
Phone: 215-788-1919