Organization Active NPI

S & J DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Myrtle Beach, SC
National Provider Identifier
1588140644
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
S & J DME LLC
Practice address
2200 Executive Ave Ste A2
Myrtle Beach, SC 29577-6593
Phone
(843) 712-2948
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Sylvan Newby
Title
Owner
Phone
(843) 712-2948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2200 Executive Ave Ste A2
Myrtle Beach, SC 29577-6593

Mailing address

2200 Executive Ave Ste A2
Myrtle Beach, SC 29577-6593
Phone (843) 712-2948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190220001013 SC DME Supplier - Medical Supply Company 7719225523 Practice locations: Myrtle Beach, SC

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
S & J DME LLC2200 Executive Ave, Myrtle Beach, SC 29577-6593(843) 712-2948 Blood Glucose Monitors/Supplies (Mail Order)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts Does not accept assignmentParticipating since Jan 10, 2019

National Provider Directory

National Provider Directory

Locations

2200 Executive Ave
Ste A2
Myrtle Beach, SC 29577
Phone (843) 712-2948

3015 Drywall Dr
Unit 100
Myrtle Beach, SC 29577
Phone (843) 712-2948

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1588140644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 EXECUTIVE AVE STE A2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776593",
            "telephone_number": "843-712-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EXECUTIVE AVE STE A2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776593",
            "telephone_number": "843-712-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "SYLVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-712-2948"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.