Organization Active NPI

Eatontown Med Supplies Corporation

  • Durable Medical Equipment & Medical Supplies
  • Tinton Falls, NJ
National Provider Identifier
1164000758
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EATONTOWN MED SUPPLIES CORPORATION
Practice address
106 Apple St Ste 108B
Tinton Falls, NJ 07724-2670
Phone
(732) 945-4131
NPI assigned
Apr 1, 2021
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Dennis William Karnes
Title
President
Phone
(951) 498-3553

Specialties & licenses 1

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

Addresses

Primary practice location

106 Apple St Ste 108B
Tinton Falls, NJ 07724-2670

Mailing address

106 Apple St Ste 108B
Tinton Falls, NJ 07724-2670
Phone (732) 945-4131

National Provider Directory

National Provider Directory

Locations

1 Main St
Ste 316
Eatontown, NJ 07724

106 Apple St
Ste 108B
Tinton Falls, NJ 07724
Phone (732) 704-3987

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1164000758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 108B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-945-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 108B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-945-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATONTOWN MED SUPPLIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-498-3553"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.