NPIMap

Organization Active NPI

Alpha Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Camden, NJ
National Provider Identifier
1023255502
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHA MEDICAL SUPPLY INC
Practice address
12 N 26TH St Unit a
Camden, NJ 08105-1114
Phone
(267) 776-3839
Fax
(267) 776-3838
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mr. Marat Imangulov
Title
Owner
Phone
(267) 776-3839

Specialties & licenses 1

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

Addresses

Primary practice location

12 N 26TH St Unit a
Camden, NJ 08105-1114

Mailing address

12 N 26TH St Unit a
Camden, NJ 08105-1114
Phone (267) 776-3839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1023255502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 26TH ST UNIT A",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051114",
            "telephone_number": "267-776-3839",
            "fax_number": "267-776-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 26TH ST UNIT A",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051114",
            "telephone_number": "267-776-3839",
            "fax_number": "267-776-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "IMANGULOV",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-776-3839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.