JEFFERSON HEALTHCARE SUPPLIES LLC NPI 1124574181

NPI Information

  • NPI: 1124574181
  • Provider Name: JEFFERSON HEALTHCARE SUPPLIES LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 6143 186TH ST
    FRESH MEADOWS, NY
    ZIP 11365
  • Phone: (347) 506-3983

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NPI Details

JEFFERSON HEALTHCARE SUPPLIES LLC is a durable medical equipment medical supplies in Fresh Meadows, NY. 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. JEFFERSON HEALTHCARE SUPPLIES LLC NPI is 1124574181. The provider is registered as an organization entity type.

The provider's business location address is:

6143 186TH ST
FRESH MEADOWS, NY
ZIP 11365-710
Phone: (347) 506-3983

The provider's authorized official is Anthony Mancini .
The authorized official title is President and has the following contact phone number (201) 951-3680.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies2000971-DCANEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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