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JERSEY CITY MEDICAL SUPPLIES INC NPI 1871553875


NPI Information

NPI: 1871553875
Provider Name: JERSEY CITY MEDICAL SUPPLIES, INC

Former Legal Business Name: JERSEY MEDICAL SUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
418 BALDWIN AVE STE 2
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 217-9950
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JERSEY CITY MEDICAL SUPPLIES, INC is a durable medical equipment medical supplies in Jersey City, 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. JERSEY CITY MEDICAL SUPPLIES, INC NPI is 1871553875. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jersey Medical Supplies.

The provider's business location address is:

418 BALDWIN AVE STE 2
JERSEY CITY, NJ
ZIP 07306-675
Phone: (201) 217-9950
Fax: (201) 217-9952

The provider's authorized official is Isaac T Santiago .
The authorized official title is President and has the following contact phone number (201) 217-9950.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 3/15/2018.


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
2335E00000XProsthetic/Orthotic Supplier45PD00000800NEW JERSEYNo
3335E00000XProsthetic/Orthotic Supplier45PO00012000NEW JERSEYNo
4335E00000XProsthetic/Orthotic SupplierNo

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
18565601MEDICAIDNEW 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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