Organization Active NPI

Martab Physicians and Hospital Supply Co

Doing business as Martab Medical

  • Durable Medical Equipment & Medical Supplies
  • Mahwah, NJ
National Provider Identifier
1255634176
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARTAB PHYSICIANS AND HOSPITAL SUPPLY CO
Doing business as
Martab Medical
Practice address
300 State RT 17
Suite F
Mahwah, NJ 07430-2141
Phone
(201) 512-1100
Fax
(201) 512-0105
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Mr. John D Marmo
Title
President
Phone
(201) 512-1100

Specialties & licenses 1

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

Addresses

Primary practice location

300 State RT 17
Suite F
Mahwah, NJ 07430-2141

Mailing address

300 State RT 17
Suite F
Mahwah, NJ 07430-2141
Phone (201) 512-1100

Other names 1

  • Martab Medical Doing business as

National Provider Directory

National Provider Directory

Locations

300 State Rt 17
Ste F
Mahwah, NJ 07430
Phone (201) 512-1100

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1255634176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE RT 17",
            "address_2": "SUITE F",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302141",
            "telephone_number": "201-512-1100",
            "fax_number": "201-512-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE RT 17",
            "address_2": "SUITE F",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302141",
            "telephone_number": "201-512-1100",
            "fax_number": "201-512-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTAB PHYSICIANS AND HOSPITAL SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MARMO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-512-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martab Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.