Professional Pulmonary Service, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PROFESSIONAL PULMONARY SERVICE, INC

Practice address

27 E Centre St
Woodbury, NJ 08096-2415

Phone

(856) 848-2440

Fax

(856) 853-1146

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Joel Davids

Title

Vice President

Phone

(856) 848-1146

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rakesh Jain, CPO

  • Customized Equipment (DME)
  • Edison, NJ
  • NPI 1952646408
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1306849229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E CENTRE ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962415",
            "telephone_number": "856-848-2440",
            "fax_number": "856-853-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E CENTRE ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962415",
            "telephone_number": "856-848-2440",
            "fax_number": "856-853-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PULMONARY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-848-1146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLANS",
            "identifier": "0002629000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "000200291",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC",
            "identifier": "0017453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jordyn Quigley
• Allison Quinn, LAC
• Merrilie Rackham, MERRILIE RACKHAM
• Lisa R Rahaim, NP
• Silvia Rainho, LAC

• Oxygen Equipment & Supplies (DME) in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.