JS Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JS MEDICAL SUPPLY INC.

Practice address

788 Shrewsbury Ave Ste 2212
Tinton Falls, NJ 07724-3080

Phone

(848) 800-8652

Fax

(848) 800-8652

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Trey Harney

Title

VP

Phone

(435) 301-8927

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1033895586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE STE 2212",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "848-800-8652",
            "fax_number": "848-800-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE STE 2212",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "848-800-8652",
            "fax_number": "848-800-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "HARNEY",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "435-301-8927"
    },
    "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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• Providers in Tinton Falls, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.