Organization Active NPI

Union City Medical Supplies Inc.

Doing business as Bio Dynamic Technologies Inc

  • Prosthetic/Orthotic Supplier
  • East Rutherford, NJ
National Provider Identifier
1548323728
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
UNION CITY MEDICAL SUPPLIES INC.
Doing business as
Bio Dynamic Technologies Inc
Biodynamic Technologies
Practice address
1 Madison St Ste A4
East Rutherford, NJ 07073-1605
Phone
(800) 879-2276
Fax
(800) 866-8011
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Mr. Felix M Garcia
Title
President
Phone
(800) 879-2276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1 Madison St Ste A4
East Rutherford, NJ 07073-1605

Mailing address

1 Madison St Ste A4
East Rutherford, NJ 07073-1605
Phone (800) 879-2276

Other identifiers 2

IdentifierTypeStateIssuer
2970805MedicaidNJ
01137957OtherNYMEDICAID

Other names 2

  • BIO DYNAMIC TECHNOLOGIES INC Doing business as
  • Biodynamic Technologies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064959 NJ DME Supplier - Medical Supply Company With Orthotic Personnel 8921127796 Practice locations: East Rutherford, NJ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Union City Medical Supply Inc1 Madison St, East Rutherford, NJ 07073-1605(800) 879-2276 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Union City Med Sup Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Madison St
Ste A4
East Rutherford, NJ 07073
Phone (800) 879-2276

1 Madison St
Ste A
East Rutherford, NJ 07073

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1548323728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MADISON ST STE A4",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731605",
            "telephone_number": "800-879-2276",
            "fax_number": "800-866-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADISON ST STE A4",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731605",
            "telephone_number": "800-879-2276",
            "fax_number": "800-866-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-879-2276",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2970805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "01137957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIO DYNAMIC TECHNOLOGIES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Biodynamic Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Biodynamic Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.