Edi

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

EDI

Practice address

36 Newark Way
Suite 202
Maplewood, NJ 07040-3310

Phone

(973) 885-0206

Fax

(973) 761-6624

NPI assigned

Aug 5, 2008

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Judy Wilson

Title

Operator

Phone

(973) 885-0206

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1336305713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070790301",
            "telephone_number": "973-885-0206",
            "fax_number": "973-761-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK WAY",
            "address_2": "SUITE 202",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403310",
            "telephone_number": "973-885-0206",
            "fax_number": "973-761-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "973-885-0206",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Duffus, RN
• Merlin Dunac, DO
• Samuel T Duncan, M.D.
• Angelica Eason-White, LPC
• Eden's Enterprises LLC (Acti-Kare Responsive in-Home Care)
• Christine Antoinette Edwards-Jones, LPC
• Irina Efraimovich, APN
• Augusta C Ekechukwu
• Jennifer Ellis, LCSW, PMH-C
• Eloi Healthcare LLC

• Home Delivered Meals in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Home Delivered Meals in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.