Freedom Medical and Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM MEDICAL AND MOBILITY

Doing business as

Medi Mart

Practice address

572 Route 130
East Windsor, NJ 08520-2600

Phone

(877) 397-8287

Fax

(877) 395-0861

NPI assigned

Sep 20, 2011

Last updated

Aug 5, 2021By 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

Win Mar Tun

Title

President

Phone

(609) 443-7400

Specialties & licenses 1

Addresses

Other names 1

• MEDI MART Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1588947246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 ROUTE 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202600",
            "telephone_number": "609-443-7400",
            "fax_number": "877-395-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ROUTE 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202600",
            "telephone_number": "877-397-8287",
            "fax_number": "877-395-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL AND MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "TUN",
        "authorized_official_first_name": "WIN",
        "authorized_official_middle_name": "MAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-443-7400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in East Windsor, NJ
• Providers in East Windsor, 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 Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.