Lifeguard Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFEGUARD MEDICAL SUPPLY, INC.

Practice address

1160 St. George Ave.
Avenel, NJ 07001

Phone

(732) 750-2577

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Rostomian

Title

Owner

Phone

(732) 750-2577

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366529281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 ST. GEORGE AVE.",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 ST. GEORGE AVE.",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001",
            "telephone_number": "732-750-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSTOMIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-750-2577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6574807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firmin Langyin
• Luis Miguel Legaspi
• Lepcos Inc
• Liang Li, D.M.D
• Raphaela Janna Fernandez Libunao, OTR/L
• Robert Bashkim Limani, M.D.
• Lingua Learning LLC
• Nataliya Lizanets, NP
• Michael T Lu, MD
• Mydung Lu, D.D.S

• Durable Medical Equipment & Medical Supplies in Avenel, NJ
• Providers in Avenel, 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 Aug 22, 2020; 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.