Divine Health Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIVINE HEALTH MEDICAL SUPPLIES INC

Practice address

303 W Main St Lowr Level
Freehold, NJ 07728-4832

Phone

(973) 900-5920

Fax

(973) 900-5921

NPI assigned

Jan 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Henry Oweh

Title

Manager

Phone

(973) 900-5920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Divine Health Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Divine Health Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
  • NPI 1235789173
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Divine Health Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
  • NPI 1235789173
  NPPES parent name

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1407187396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3156",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071030156",
            "telephone_number": "973-900-5920",
            "fax_number": "973-900-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST LOWR LEVEL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284832",
            "telephone_number": "973-900-5920",
            "fax_number": "973-900-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "OWEH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-900-5920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Dipietro, CRNA
• Kelley Dippold
• Aspasia Sue Disakias, L.AC
• Robert Michael Disogra, AU.D.
• Jessica Distefano, MS, LAC
• Stephanie Dizenzo-Priestley, PHD, LPC
• Denise Marie Dolan, RN APNC
• Kathleen Michelle Donahue
• Dilip M Donde, MD
• Mrunalinin Donde, M.D.

• Durable Medical Equipment & Medical Supplies in Freehold, NJ
• Providers in Freehold, 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 Sep 4, 2025; 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.