Organization Active NPI

S&J Services and Repairs, LLC

  • Customized Equipment (DME)
  • Juda, WI
National Provider Identifier
1285333765
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
S&J SERVICES AND REPAIRS, LLC
Practice address
W2678 Town Center Rd
Juda, WI 53550-9565
Phone
(630) 806-3036
Fax
(608) 934-5384
NPI assigned
Feb 23, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Mr. Stuart Lansing Kuntzelman, ATPNPI 1811512437
Title
President
Phone
(608) 934-5368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

W2678 Town Center Rd
Juda, WI 53550-9565

Mailing address

W2678 Town Center Rd
Juda, WI 53550-9565
Phone (630) 806-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706002658 WI DME Supplier - Medical Supply Company 2365801578 Practice locations: Juda, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1285333765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2678 TOWN CENTER RD",
            "city": "JUDA",
            "state": "WI",
            "postal_code": "535509565",
            "telephone_number": "630-806-3036",
            "fax_number": "608-934-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2678 TOWN CENTER RD",
            "city": "JUDA",
            "state": "WI",
            "postal_code": "535509565",
            "telephone_number": "630-806-3036",
            "fax_number": "608-934-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&J SERVICES AND REPAIRS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "KUNTZELMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "LANSING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-934-5368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juda, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.