NPIMap

Organization Active NPI

Divine Health Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
National Provider Identifier
1235789173
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVINE HEALTH MEDICAL SUPPLIES, INC.
Practice address
377 Smith St
Perth Amboy, NJ 08861-3923
Phone
(732) 661-6216
Fax
(732) 934-5539
NPI assigned
Sep 12, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DIVINE HEALTH MEDICAL SUPPLIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Mr. Henry Oweh
Title
Managing Principal
Phone
(973) 900-5920

Specialties & licenses 1

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

Addresses

Primary practice location

377 Smith St
Perth Amboy, NJ 08861-3923

Mailing address

PO Box 3156
Newark, NJ 07103-0156
Phone (973) 518-1009

National Provider Directory

National Provider Directory
Tax ID family
Divine Health Medical Supplies Inc2 organizations share this tax ID, including this one
Part of
Divine Health Medical Supplies Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

377 Smith St
Perth Amboy, NJ 08861
Phone (732) 661-6216

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1235789173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3156",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071030156",
            "telephone_number": "973-518-1009",
            "fax_number": "973-900-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613923",
            "telephone_number": "732-661-6216",
            "fax_number": "732-934-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE HEALTH MEDICAL SUPPLIES, INC.",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "OWEH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MANAGING  PRINCIPAL",
        "authorized_official_telephone_number": "973-900-5920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.