South Orange Medical Supplies Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in NJ

Legal business name

SOUTH ORANGE MEDICAL SUPPLIES CORP

Practice address

310 S Orange Ave
South Orange, NJ 07079-2502

Phone

(973) 763-7869

Fax

(973) 763-3502

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Heinrich Chigirinsky

Title

Vice-President

Phone

(973) 763-7869

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1295862019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792502",
            "telephone_number": "973-763-7869",
            "fax_number": "973-763-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792502",
            "telephone_number": "973-763-7869",
            "fax_number": "973-763-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 Rte 35 Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301544",
            "country_code": "US",
            "telephone_number": "732-847-3640",
            "fax_number": "732-847-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH ORANGE MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "CHIGIRINSKY",
        "authorized_official_first_name": "HEINRICH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "973-763-7869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85766",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Mountain Orthopaedic Associates LLC
• South Orange Chiropractic Center
• South Orange Dental Center PA
• South Orange Dental Center, P.a.
• South Orange Healthcare Co
• South Orange OB/GYN and Infertility Group
• South Orange Pharmacy LLC
• South Orange Sleep Solutions
• South Orange Village Medical Group, LLC
• Melissa D South, LPC, NCC, ACS

• Durable Medical Equipment & Medical Supplies in South Orange, NJ
• Providers in South Orange, 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 Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.