Bluebird Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUEBIRD MEDICAL SUPPLY LLC

Practice address

100 Commerce Way
Suite 5
Hackensack, NJ 07601-6302

Phone

(201) 880-7798

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elbert Yun

Title

Authorized Rep

Phone

(201) 880-7798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1164719746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMERCE WAY",
            "address_2": "SUITE 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE WAY",
            "address_2": "SUITE 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016302",
            "telephone_number": "201-880-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "ELBERT",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "201-880-7798"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.