Organization Active NPI

Duramednj LLC

  • Durable Medical Equipment & Medical Supplies
  • Hicksville, NY
National Provider Identifier
1174178750
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURAMEDNJ LLC
Practice address
960 S Broadway Ste 120
Hicksville, NY 11801-5028
Phone
(973) 305-8830
Fax
(973) 305-8818
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Mr. Stanley L Teeple
Title
Manager
Phone
(516) 268-6072

Specialties & licenses 1

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

Addresses

Primary practice location

960 S Broadway Ste 120
Hicksville, NY 11801-5028

Mailing address

3 Wiedeman Ave
Clifton, NJ 07011-3412
Phone (973) 305-8830

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gina@epsnj.com Direct

National Provider Directory

National Provider Directory

Locations

3 Wiedeman Ave
Clifton, NJ 07011

960 S Broadway
Ste 120
Hicksville, NY 11801
Phone (480) 365-8825

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1174178750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WIEDEMAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113412",
            "telephone_number": "973-305-8830",
            "fax_number": "973-305-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S BROADWAY STE 120",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015028",
            "telephone_number": "973-305-8830",
            "fax_number": "973-305-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMEDNJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "TEEPLE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-268-6072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina@epsnj.com",
            "affiliation": "N",
            "endpointDescription": "mailing address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "csv",
            "address_1": "960 S Broadway Ste 120",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118015028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.