INNOVATIVE SUPPLY GROUP LLC NPI 1164756755

NPI Information

  • NPI: 1164756755
  • Provider Name: INNOVATIVE SUPPLY GROUP, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 585 PROSPECT ST
    UNIT 304
    LAKEWOOD, NJ
    ZIP 08701
  • Phone: (732) 363-3001

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NPI Details

INNOVATIVE SUPPLY GROUP, LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Lakewood, NJ. INNOVATIVE SUPPLY GROUP, LLC NPI is 1164756755. The provider is registered as an organization entity type.

The provider's business location address is:

585 PROSPECT ST
UNIT 304
LAKEWOOD, NJ
ZIP 08701-073
Phone: (732) 363-3001

The provider's authorized official is Michael Lebovics .
The authorized official title is Vice President and has the following contact phone number (732) 363-3001.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 5/20/2024.

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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition1509850NEW JERSEYYes

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: 11/21/2025

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