Organization Active NPI

Judepa, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Braintree, MA
National Provider Identifier
1023283819
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JUDEPA, LLC.
Practice address
136 Hancock St
Braintree, MA 02184-7039
Phone
(781) 843-8485
Fax
(781) 843-8480
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Ms. Christine Mary Bowen, MASTECTOMY FITTER
Title
Member/Co-Owner
Phone
(781) 843-8485

Specialties & licenses 1

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

Addresses

Primary practice location

136 Hancock St
Braintree, MA 02184-7039

Mailing address

136 Hancock St
Braintree, MA 02184-7039
Phone (781) 843-8485

National Provider Directory

National Provider Directory

Locations

136 Hancock St
Braintree, MA 02184
Phone (781) 843-8485

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1023283819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HANCOCK ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847039",
            "telephone_number": "781-843-8485",
            "fax_number": "781-843-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HANCOCK ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847039",
            "telephone_number": "781-843-8485",
            "fax_number": "781-843-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDEPA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEMBER/CO-OWNER",
        "authorized_official_telephone_number": "781-843-8485",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTECTOMY FITTER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.