Organization Active NPI

Deo Brands LLC

  • Eyewear Supplier
  • Elizabeth, NJ
National Provider Identifier
1285218537
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DEO BRANDS LLC
Practice address
651 Kapkowski Rd
Elizabeth, NJ 07201-4901
Phone
(347) 844-1433
NPI assigned
May 11, 2021
Organization subpart
Yes
Parent organization
DEO BRANDS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Marc Cohen
Title
Ceo -Owner
Phone
(347) 844-1437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

651 Kapkowski Rd
Elizabeth, NJ 07201-4901

Mailing address

7 Jerome Ave
Deal, NJ 07723-1305
Phone (347) 844-1433

Other identifiers 1

IdentifierTypeStateIssuer
1OtherNJSTORE NAME & LOCATION

Other names 1

  • DEO NY Retail 1, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deo Brands LLC3 organizations share this tax ID, including this one
Part of
Deo Brands LLC

Other organizations with this tax ID 2

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

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": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1285218537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JEROME AVE",
            "city": "DEAL",
            "state": "NJ",
            "postal_code": "077231305",
            "telephone_number": "347-844-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "347-844-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEO BRANDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEO BRANDS LLC",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO -OWNER",
        "authorized_official_telephone_number": "347-844-1437"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NAME & LOCATION",
            "identifier": "1",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEO NY Retail 1, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.