Organization Active NPI

Superior Rehabmed Supplies Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Bloomingdale, IL
National Provider Identifier
1437668076
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
SUPERIOR REHABMED SUPPLIES INC
Practice address
303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143
Phone
(630) 542-5599
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mustafa Jabri
Title
Owner
Phone
(630) 542-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143

Mailing address

303 E Army Trail Rd Ste 204
Bloomingdale, IL 60108-2143
Phone (630) 542-5599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437668076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082143",
            "telephone_number": "630-542-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082143",
            "telephone_number": "630-542-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR REHABMED SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JABRI",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-542-5599"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.