NPIMap

Organization Active NPI

Community Hospital Group Inc

Doing business as JFK Jri P&O Lab

  • Durable Medical Equipment & Medical Supplies
  • Edison, NJ
National Provider Identifier
1184847691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22293 Issued in NJ
Legal business name
COMMUNITY HOSPITAL GROUP INC
Doing business as
JFK Jri P&O Lab
Practice address
308 Talmadge Rd
Edison, NJ 08817-2339
Phone
(732) 321-7000
Fax
(732) 632-1644
NPI assigned
Apr 11, 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. Richard C Smith
Title
Cfo
Phone
(732) 321-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22293 NJ Primary

Addresses

Primary practice location

308 Talmadge Rd
Edison, NJ 08817-2339

Mailing address

80 James St
4TH Floor
Edison, NJ 08820-3938
Phone (732) 632-1571

Other identifiers 1

IdentifierTypeStateIssuer
3678016MedicaidNJ

Other names 1

  • JFK JRI P&O LAB Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

308 Talmadge Rd
Edison, NJ 08817
Phone (732) 248-0774

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184847691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-632-1571",
            "fax_number": "732-632-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 TALMADGE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172339",
            "telephone_number": "732-321-7000",
            "fax_number": "732-632-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-321-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "22293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3678016",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFK JRI P&O LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, 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.