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DIVINE HEALTH MEDICAL SUPPLIES INC NPI 1407187396


NPI Information

NPI: 1407187396
Provider Name: DIVINE HEALTH MEDICAL SUPPLIES INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
357 AVON AVE
NEWARK, NJ
ZIP 07108
Phone: (973) 900-5920
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DIVINE HEALTH MEDICAL SUPPLIES INC is a durable medical equipment medical supplies in Newark, NJ. 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. DIVINE HEALTH MEDICAL SUPPLIES INC NPI is 1407187396. The provider is registered as an organization entity type.

The provider's business location address is:

357 AVON AVE
NEWARK, NJ
ZIP 07108-309
Phone: (973) 900-5920
Fax: (973) 900-5921

The provider's authorized official is Henry Oweh .
The authorized official title is Manager and has the following contact phone number (973) 900-5920.

The enumeration date for this NPI number is 1/17/2010 and was last updated on 12/6/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16457990001MEDICARE NSCNEW JERSEY

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

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