Jeff Quip, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

700003 Issued in PA

Legal business name

JEFF QUIP, INC.

Doing business as

The Home Care Network, Jefferson Health System - Rehab Equipment

Practice address

12 Creek Pkwy
Boothwyn, PA 19061-3132

Phone

(610) 586-6072

Fax

(610) 586-4742

NPI assigned

Jul 17, 2006

Last updated

Jun 25, 2010By 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

Riichard M Jacovini

Title

Vice President

Phone

(484) 580-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Home Care Network, Jefferson Health System - Rehab Equipment Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jeffex Inc

  dba Jefferson Pharmacy

  • Pharmacy
  • Philadelphia, PA
  • NPI 1780084723

  Member Of

  NPD member

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1437176195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CREEK PKWY",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613132",
            "telephone_number": "610-586-6072",
            "fax_number": "610-586-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CREEK PKWY",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613132",
            "telephone_number": "610-586-6072",
            "fax_number": "610-586-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF QUIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "JACOVINI",
        "authorized_official_first_name": "RIICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "484-580-1400"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "700003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007409830007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Home Care Network, Jefferson Health System - Rehab Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Eugene Horsky, D.C.
• Beth A. Howlett, PH.D.
• IHS Acquisition XXX, Inc. (US Bioservices)
• Fadi Iskander, OD
• Manoucher Jalali, MD
• Joel S. Goldberg
• Nancy Elizabeth Jordan, PT
• Manuel T. Lim, MD
• Issam Malkoun, OPTICIAN
• Steven Marinakis, DMD

• Customized Equipment (DME) in Boothwyn, PA
• Providers in Boothwyn, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.