Organization Active NPI

BLMT

Doing business as Engled Managed Care

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
National Provider Identifier
1043360613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLMT
Doing business as
Engled Managed Care
Practice address
215 Union St
Hackensack, NJ 07601-4259
Phone
(201) 567-8888
Fax
(201) 567-8008
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Henry Ortiz, CRT
Title
Manager
Phone
(201) 567-8888

Specialties & licenses 1

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

Addresses

Primary practice location

215 Union St
Hackensack, NJ 07601-4259

Mailing address

215 Union St
Hackensack, NJ 07601-4259
Phone (201) 567-8888

Other identifiers 2

IdentifierTypeStateIssuer
0081388MedicaidNJ
02705677MedicaidNY

Other names 1

  • ENGLED MANAGED CARE Doing business as

National Provider Directory

National Provider Directory

Locations

215 Union St
Hackensack, NJ 07601
Phone (201) 567-8888

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043360613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 UNION ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014259",
            "telephone_number": "201-567-8888",
            "fax_number": "201-567-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UNION ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014259",
            "telephone_number": "201-567-8888",
            "fax_number": "201-567-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-567-8888",
        "authorized_official_credential": "CRT"
    },
    "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": "0081388",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02705677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENGLED MANAGED CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • 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.