Organization Active NPI

SJ Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Gaithersburg, MD
National Provider Identifier
1295878718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15223185 Issued in MD
Legal business name
SJ MEDICAL, INC
Practice address
847 Quince Orchard Blvd Ste J
Gaithersburg, MD 20878-1677
Phone
(301) 461-6018
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jung Hye Sin, PHARM. D.
Title
Owner
Phone
(301) 461-6018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15223185 MD Primary

Addresses

Primary practice location

847 Quince Orchard Blvd Ste J
Gaithersburg, MD 20878-1677

Mailing address

12815 Murphy Grove Ter
Clarksburg, MD 20871-4318
Phone (301) 461-6018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295878718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 MURPHY GROVE TER",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714318",
            "telephone_number": "301-461-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 QUINCE ORCHARD BLVD STE J",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781677",
            "telephone_number": "301-461-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIN",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "HYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-461-6018",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "15223185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.