Allied Medical Supply Corp

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in NJ

Legal business name

ALLIED MEDICAL SUPPLY CORP

Practice address

370 W Market St
Newark, NJ 07107-3040

Phone

(973) 799-0992

Fax

(973) 799-0994

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theodore Ubanwa

Title

President

Phone

(973) 799-0992

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215099676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W MARKET ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073040",
            "telephone_number": "973-799-0992",
            "fax_number": "973-799-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W MARKET ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073040",
            "telephone_number": "973-799-0992",
            "fax_number": "973-799-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UBANWA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-799-0992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "41684",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021121",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "199396",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ileola Miriam Allen-Jamison
• Isabel Allen-Steinfeld, MD
• David Allen, D.C.
• Michele Allen
• Allied Chiropractic & Rehab Center, P.C.
• Allied Mental Health Services PC
• Allied Mental Health Services, LLC
• Greg Tyler Allison, M.D.
• Tatiana Allison, LPN
• Priscilla Whitney Ann Allman, MD

• Customized Equipment (DME) in Newark, NJ
• Providers in Newark, NJ by specialty
• Customized Equipment (DME) in New Jersey

• 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.