Active NPI
Medical Supplies and Services
- Durable Medical Equipment & Medical Supplies
- Paramus, NJ
National Provider Identifier
1104160522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0400016842
- Legal business name
- MEDICAL SUPPLIES AND SERVICES
- Practice address
- 535 Redwood Rd
Paramus, NJ 07652-4711 - Phone
- (201) 261-4081
- Fax
- (201) 210-8830
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Boris Muchnik, RT
- Title
- President
- Phone
- (201) 261-4081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0400016842 | NJ | Primary |
Addresses
Primary practice location
535 Redwood Rd
Paramus, NJ 07652-4711
Mailing address
535 Redwood Rd
Paramus, NJ 07652-4711
Phone (201) 261-4081
Other names 1
- pulmotx
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1104160522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 REDWOOD RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524711",
"telephone_number": "201-261-4081",
"fax_number": "201-210-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 REDWOOD RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524711",
"telephone_number": "201-261-4081",
"fax_number": "201-210-8830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SUPPLIES AND SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "MUCHNIK",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-261-4081",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "0400016842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "pulmotx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.