NPIMap

Organization Active NPI

New Jersey Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Laurel, NJ
National Provider Identifier
1134319692
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1362148 Issued in NJ
Legal business name
NEW JERSEY MEDICAL SUPPLIES, LLC
Practice address
3111 Route 38
Larchmont Commons BLDG 8
Mount Laurel, NJ 08054-9754
Phone
(856) 778-3707
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. Jacqueline Grace Dominguez-Yost
Title
President
Phone
(856) 778-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1362148 NJ Primary

Addresses

Primary practice location

3111 Route 38
Larchmont Commons BLDG 8
Mount Laurel, NJ 08054-9754

Mailing address

3111 Route 38
Larchmont Commons BLDG 8
Mount Laurel, NJ 08054-9754
Phone (856) 778-3707

National Provider Directory

National Provider Directory

Locations

3111 Route 38
Ste 8
Mount Laurel, NJ 08054
Phone (856) 778-3707

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1134319692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 38",
            "address_2": "LARCHMONT COMMONS BLDG 8",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549754",
            "telephone_number": "856-778-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 38",
            "address_2": "LARCHMONT COMMONS BLDG 8",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549754",
            "telephone_number": "856-778-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ-YOST",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-778-3707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "1362148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.