Organization Active NPI

Chester Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Montvale, NJ
National Provider Identifier
1366329328
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHESTER MEDICAL SUPPLIES LLC
Practice address
72 Summit Ave Ste 110
Montvale, NJ 07645-1200
Phone
(347) 623-6534
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Elijah Goldberg
Title
President
Phone
(347) 623-6534

Specialties & licenses 1

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

Addresses

Primary practice location

72 Summit Ave Ste 110
Montvale, NJ 07645-1200

Mailing address

72 Summit Ave Ste 110
Montvale, NJ 07645-1200
Phone (347) 623-6534

National Provider Directory

National Provider Directory

Locations

72 Summit Ave
Ste 110
Montvale, NJ 07645
Phone (347) 623-6534

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1366329328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUMMIT AVE STE 110",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451200",
            "telephone_number": "347-623-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUMMIT AVE STE 110",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451200",
            "telephone_number": "347-623-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-623-6534"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.