Organization Active NPI

Dedicated Medical Providers LLC

  • Durable Medical Equipment & Medical Supplies
  • Norwood, NJ
National Provider Identifier
1144833955
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEDICATED MEDICAL PROVIDERS LLC
Practice address
55 Walnut St Ste 104-C
Norwood, NJ 07648-1335
Phone
(201) 975-1129
Fax
(201) 987-1187
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Peter Kuntz
Title
Managing Member
Phone
(201) 975-1129

Specialties & licenses 1

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

Addresses

Primary practice location

55 Walnut St Ste 104-C
Norwood, NJ 07648-1335

Mailing address

55 Walnut St Ste 104-C
Norwood, NJ 07648-1335
Phone (201) 975-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202002223 NJ DME Supplier - Medical Supply Company 9830500453 Practice locations: Norwood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Dedicated Medical Providers, LLC55 Walnut St, Norwood, NJ 07648-1335(800) 507-9553 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Orthoses: Off-The-She… Does not accept assignmentParticipating since Oct 26, 2020

National Provider Directory

National Provider Directory

Locations

55 Walnut St
Ste 204
Norwood, NJ 07648
Phone (800) 507-9553

55 Walnut St
Ste 104C
Norwood, NJ 07648
Phone (201) 975-1129

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1144833955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALNUT ST STE 104-C",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481335",
            "telephone_number": "201-975-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALNUT ST STE 104-C",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481335",
            "telephone_number": "201-975-1129",
            "fax_number": "201-987-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED MEDICAL PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-975-1129"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.