Pomac Metro Ipa LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

POMAC METRO IPA LLC

Practice address

365 C New Albany Rd.
Moorestown., NJ 08057

Phone

(856) 273-9636

Fax

(856) 273-7886

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jon Shreter, CPO

Title

Exec. Director

Phone

(856) 273-9636

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1073742151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 C NEW ALBANY RD.",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-273-9636",
            "fax_number": "856-273-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 C NEW ALBANY RD.",
            "city": "MOORESTOWN.",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-273-9636",
            "fax_number": "856-273-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMAC METRO IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "SHRETER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "856-273-9636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Plumeri, PSY.D.
• Thomas W Plut, D.O.
• Matthew David Poli, PA-C
• Pomac
• Pomac LLC
• Pomac Metro LLC
• Pomac Usp
• Maria Irene Cokonis Poulathas, RPH
• Premise Health of New Jersey Medical PC
• Premium Care Group

• Prosthetic/Orthotic Supplier in Moorestown., NJ
• Providers in Moorestown., NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.