Active NPI
SJ Medical, Inc
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
National Provider Identifier
1295878718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 15223185
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.