Kona K3 Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KONA K3 MEDICAL SUPPLIES

Practice address

146 Hillside Avenue
Hillside, NJ 07205

Phone

(973) 923-4000

Fax

(973) 923-4123

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kofi A Boakye

Title

Owner

Phone

(973) 923-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1558551481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HILLSIDE AVENUE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205",
            "telephone_number": "973-923-4000",
            "fax_number": "973-923-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HILLSIDE AVENUE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205",
            "telephone_number": "973-923-4000",
            "fax_number": "973-923-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA K3 MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-923-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jones
• Orah Jooyandehnik
• Rena B Kaminetzky
• Kidney Life, LLC (Hillside Dialysis)
• Alyssa Kimbrough
• KP Homecare Services LLC
• Sarah Krause, DMD
• Cliff Gus Lachapelle
• Alan Lawrence
• Marcus Lawson

• Durable Medical Equipment & Medical Supplies in Hillside, NJ
• Providers in Hillside, 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 Jul 26, 2007; 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.