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NPI 1780751115 · Parenteral & Enteral Nutrition Supplies (DME) · Philadelphia, PA
Provider details
- NPI number
- 1780751115
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Michael Czekner, Chief Financial Officer(215) 368-0900
- License
- 090902 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2990 Holme Ave
Philadelphia, PA 19136-1830
Phone: (215) 335-2100
Fax: (215) 368-5254
Street-level locationGet directions
Mailing address
2990 Holme Ave
Philadelphia, PA 19136-1830
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.