Epic Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EPIC MEDICAL SUPPLY CORP

Practice address

640 Cross St Unit 77
Lakewood, NJ 08701-4771

Phone

(483) 732-0758

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Moshe Berkovic

Title

President

Phone

(848) 373-2075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1033769203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CROSS ST UNIT 77",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014771",
            "telephone_number": "848-373-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CROSS ST UNIT 77",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014771",
            "telephone_number": "483-732-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BERKOVIC",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "848-373-2075"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.