Selfcare Mediquip, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SELFCARE MEDIQUIP, INC.

Practice address

8 W End Ave
Hammonton, NJ 08037-1539

Phone

(609) 704-9211

Fax

(609) 704-0119

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Villari

Title

President/Ceo

Phone

(609) 704-9211

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1477515831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W END AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371539",
            "telephone_number": "609-704-9211",
            "fax_number": "609-704-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W END AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371539",
            "telephone_number": "609-704-9211",
            "fax_number": "609-704-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFCARE MEDIQUIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "VILLARI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-704-9211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "002631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "92261",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5342309",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "AT000009300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel Sanfilippo, D.C.
• Solaida Santiago Ramos, LSW
• Carmen Delia Santiago, LAC
• Desiree Schonewolf
• Anthony Scibilia
• Loretta A. Sernekos, PHD, MSN, APN
• Gaurang K Shah, RPH
• Navin C Shah, MD
• Nisha Shah, DPM
• Sonia Sharma, MD

• Durable Medical Equipment & Medical Supplies in Hammonton, NJ
• Providers in Hammonton, 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 Apr 12, 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.