Jefferson Healthcare Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2000971-DCA Issued in NY

Legal business name

JEFFERSON HEALTHCARE SUPPLIES LLC

Practice address

6143 186TH St
Fresh Meadows, NY 11365-2710

Phone

(347) 506-3983

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Anthony Mancini

Title

President

Phone

(201) 951-3680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1124574181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117560190",
            "telephone_number": "347-506-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "347-506-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTHCARE SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-951-3680"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2000971-DCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jakimiuk-Chu
• Leonard P James, M.D., PH.D.
• Meira Jaskiel, DDS
• Roberto Gonzaga Javier, RN
• Alexandra Jean-Pierre, DMD
• Pei-Tsung Jen
• Vernon Jenkins, LMT
• Sharon Jeon
• Oneida Aurora Jerez
• Evelyn Elizabeth Jimenez, LMSW

• Durable Medical Equipment & Medical Supplies in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.