Active NPI
Bis Logistics LLC
Doing business as AmnioMD
- Home Health Agency
- Marmora, NJ
National Provider Identifier
1528820156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BIS LOGISTICS LLC
- Doing business as
- AmnioMD
- Practice address
- 611 Roosevelt Blvd
Marmora, NJ 08223-1429 - Phone
- (770) 545-4269
- NPI assigned
- Jan 29, 2024
- Last updated
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel R Rayalu, MD
- Title
- Chief Medical Officer
- Phone
- (770) 545-4269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
611 Roosevelt Blvd
Marmora, NJ 08223-1429
Mailing address
611 Roosevelt Blvd
Marmora, NJ 08223-1429
Phone (770) 545-4269
Other names 1
- AmnioMD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1528820156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 ROOSEVELT BLVD",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231429",
"telephone_number": "770-545-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 ROOSEVELT BLVD",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231429",
"telephone_number": "770-545-4269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIS LOGISTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "RAYALU",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "770-545-4269",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AmnioMD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AmnioMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marmora, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.