Organization Active NPI

J & J Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Teaneck, NJ
National Provider Identifier
1144346701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J & J MEDICAL SUPPLY INC.
Practice address
543 Cedar LN
Teaneck, NJ 07666-1712
Phone
(201) 836-1717
Fax
(201) 836-6374
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Charles Errichetti
Title
President
Phone
(201) 836-1717

Specialties & licenses 1

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

Addresses

Primary practice location

543 Cedar LN
Teaneck, NJ 07666-1712

Mailing address

543 Cedar LN
Teaneck, NJ 07666-1712
Phone (201) 836-1717

Other identifiers 1

IdentifierTypeStateIssuer
2880601MedicaidNJ

National Provider Directory

National Provider Directory

Locations

543 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-1717

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144346701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661712",
            "telephone_number": "201-836-1717",
            "fax_number": "201-836-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661712",
            "telephone_number": "201-836-1717",
            "fax_number": "201-836-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERRICHETTI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-1717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2880601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.