Phoenix Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHOENIX MEDICAL SUPPLY, LLC

Practice address

300 Hudson St
Hackensack, NJ 07601-6750

Phone

(201) 343-0066

Fax

(201) 441-9115

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

William McMorrow Sr.

Title

Owner

Phone

(201) 343-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1245246560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016750",
            "telephone_number": "201-343-0066",
            "fax_number": "201-441-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016750",
            "telephone_number": "201-343-0066",
            "fax_number": "201-441-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "MCMORROW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-343-0066",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066371",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley P Philip, MD
• Seena Philip, P.T.
• Kaitlyn Philips, DO
• Nia Phillips, O.D.
• Phoenix Business Solutions, Inc
• Pooja M. Phull, MD
• Physicians for Women'S Health, P.C.
• Yolonda Pickett, MD, MS
• Sean D Pierce, MD
• Laure Darcy Pierre, MSN, AGNP-C

• Durable Medical Equipment & Medical Supplies in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.