Omnis Medical Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OMNIS MEDICAL SERVICES LLC

Practice address

66 York St Ste 100
Jersey City, NJ 07302-3838

Phone

(201) 300-0101

Fax

(773) 417-1452

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Jeremy Lee James

Title

Authorized Official

Phone

(201) 300-0101

Specialties & licenses 1

Addresses

Other names 1

• OMNIS MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1346013307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 YORK ST STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-300-0101",
            "fax_number": "773-417-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 YORK ST STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-300-0101",
            "fax_number": "773-417-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-300-0101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNIS MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNIS MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, 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 Apr 22, 2024; 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.