Organization Active NPI

Maro Medical & Surgical Supplies,Inc

  • Durable Medical Equipment & Medical Supplies
  • Elizabeth, NJ
National Provider Identifier
1003990664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
443662 Issued in NY
Legal business name
MARO MEDICAL & SURGICAL SUPPLIES,INC
Practice address
1156A E Jersey St
Elizabeth, NJ 07201-2311
Phone
(908) 289-9111
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Zinovy Ostrovsky, CERTIFEID PEDORTHIS
Title
President
Phone
(908) 289-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 443662 NY Primary

Addresses

Primary practice location

1156A E Jersey St
Elizabeth, NJ 07201-2311

Mailing address

1156A E Jersey St
Elizabeth, NJ 07201-2311
Phone (908) 289-9111

Other identifiers 1

IdentifierTypeStateIssuer
02785615MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930095672 NJ DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Certified Orth/Pros/Pedorthist 3173730546 Practice locations: Elizabeth, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Maro Medical & Surgical Supplies,in1156A E Jersey St, Elizabeth, NJ 07201-2332(908) 289-9111 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanis… Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

1156A E Jersey St
Elizabeth, NJ 07201
Phone (908) 289-9111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003990664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156A E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012311",
            "telephone_number": "908-289-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156A E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012311",
            "telephone_number": "908-289-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARO MEDICAL & SURGICAL SUPPLIES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTROVSKY",
        "authorized_official_first_name": "ZINOVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-289-9111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFEID PEDORTHIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "443662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02785615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.