Organization Active NPI

Bis Logistics LLC

Doing business as AmnioMD

  • Home Health Agency
  • Marmora, NJ
National Provider Identifier
1528820156
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.