Active NPI
JMR Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Northfield, OH
National Provider Identifier
1114975620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- HMEL.11025
- Legal business name
- JMR MEDICAL, LLC
- Practice address
- 9821 Olde 8 Rd Ste D1
Northfield, OH 44067-1456 - Phone
- (234) 201-1076
- Fax
- (330) 467-1839
- NPI assigned
- May 5, 2006
- Last updated
- Jan 28, 2026
- 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
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | HMEL.11025 | OH | Primary |
Addresses
Primary practice location
9821 Olde 8 Rd Ste D1
Northfield, OH 44067-1456
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HMEL.11025 | Other | OH | STATE LICENSE |
| 2200442 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078901 | OH | DME Supplier - Medical Supply Company | 9830210376 | Practice locations: Northfield, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| JMR Medical, LLC | Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
- NPI 1114167111
Member Of
Locations
8562 Olde 8 Rd
Ste 1
Northfield, OH 44067
Phone (330) 467-2725
9821 Olde 8 Rd
Ste D1
Northfield, OH 44067
Phone (234) 201-1076
9821 Olde 8 Rd
Ste N
Northfield, OH 44067
Phone (330) 467-2725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1114975620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9821 OLDE 8 RD STE D1",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440671456",
"telephone_number": "234-201-1076",
"fax_number": "330-467-1839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMR MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "HMEL.11025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "HMEL.11025",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2200442",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.