Organization Active NPI

Perfect Fit Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Manchester, NJ
National Provider Identifier
1205323227
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFECT FIT MEDICAL SUPPLY
Practice address
1045 Route 70
Manchester, NJ 08759
Phone
(732) 996-0665
Fax
(732) 941-4307
NPI assigned
Apr 16, 2018
Last updated
Dec 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Richard Tyas
Title
Owner
Phone
(732) 800-8800

Specialties & licenses 1

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

Addresses

Primary practice location

1045 Route 70
Manchester, NJ 08759

Mailing address

1045 Route 70
Manchester, NJ 08759-5806
Phone (732) 996-0665

Other names 1

  • Perfect Fit Medical Supply Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114001209 NJ DME Supplier - Medical Supply Company With Orthotic Personnel 4284981416 Practice locations: Manchester, 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
Perfect Fit Medical Supply1045 Route 70, Manchester, NJ 08759-5806(732) 800-8800 Commodes, Urinals, Bedpans|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Custom Fabricated|Orthoses: Pref… Accepts assignmentParticipating since Oct 9, 2018

National Provider Directory

National Provider Directory

Locations

1045 Route 70
Manchester, NJ 08759
Phone (732) 849-5013

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1205323227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-996-0665",
            "fax_number": "732-941-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "08759",
            "telephone_number": "732-996-0665",
            "fax_number": "732-941-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT FIT MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "TYAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-800-8800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Fit Medical Supply",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manchester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.