NJ Star Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NJ STAR MEDICAL SUPPLY INC

Practice address

1235 Morris Avenue
101
Union, NJ 07083-3344

Phone

(347) 322-5333

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Steven IsrailovNPI 1316657158

Title

Ceo

Phone

(347) 322-5333

Specialties & licenses 1

Addresses

Other names 2

• NJ STAR MEDICAL SUPPLY INC Other name
• PRIORITY CARRIERS TRANSPORTATION INC. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Israilov

  • Case Manager/Care Coordinator
  • Brooklyn, NY
  • NPI 1316657158
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1063277119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVENUE",
            "address_2": "101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "347-322-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVENUE",
            "address_2": "101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "347-322-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Morris Avenue",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070833344",
            "country_code": "US",
            "telephone_number": "347-322-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 Morris Avenue",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070833344",
            "country_code": "US",
            "telephone_number": "347-322-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ STAR MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "ISRAILOV",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-322-5333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ STAR MEDICAL SUPPLY INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PRIORITY CARRIERS TRANSPORTATION INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Union, NJ
• Providers in Union, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.