Express Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPRESS MEDICAL SUPPLY LLC

Practice address

123 Town Square PL
698
Jersey City, NJ 07310-1756

Phone

(201) 988-2907

Fax

(718) 355-9661

NPI assigned

Jan 20, 2009

Organization subpart

Yes

Parent organization

PANGEA GROUP LLCAs reported in NPPES

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

Authorized official

Name

Adele Inokon

Title

Managing Partner

Phone

(201) 988-2907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1467699074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TOWN SQUARE PL",
            "address_2": "698",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101756",
            "telephone_number": "201-988-2907",
            "fax_number": "718-355-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 TOWN SQUARE PL",
            "address_2": "698",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101756",
            "telephone_number": "201-988-2907",
            "fax_number": "718-355-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANGEA GROUP LLC",
        "enumeration_date": "2009-01-20",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "INOKON",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-988-2907"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, 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 Jun 4, 2012; 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.