Jersey Healthcare Resources, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JERSEY HEALTHCARE RESOURCES, LLC

Practice address

55 S Newman St
Hackensack, NJ 07601-3211

Phone

(201) 489-9000

Fax

(201) 489-9000

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Pineles

Title

President

Phone

(201) 489-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jersey Healthcare Resources Doing business as

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013945609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S NEWMAN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013211",
            "telephone_number": "201-489-9000",
            "fax_number": "201-489-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S NEWMAN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013211",
            "telephone_number": "201-489-9000",
            "fax_number": "201-489-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY HEALTHCARE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINELES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-489-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7867603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Healthcare Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald George Jenne, DMD
• Andrew A Jennis, MD
• Nicholas David Jensen, MD
• Derrick Pyomin Jeon, MD
• Jeren Enterprises
• Wendy C Jeshion, MD
• Rui Jian, DMD
• Joseph Jimenez, M.D.
• Karina Jimenez, RPT
• Jitendra J. Lodhavia M.D. , P.a.

• Durable Medical Equipment & Medical Supplies in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.