Active NPI
Jemm International LLC
- Customized Equipment (DME)
- Clifton, NJ
National Provider Identifier
1598824070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- JEMM INTERNATIONAL LLC
- Practice address
- 421 Lakeview Ave
Clifton, NJ 07011-4035 - Phone
- (973) 772-1901
- Fax
- (973) 772-1902
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ekhlas Jawdat Sulaiman
- Title
- President
- Phone
- (973) 772-1901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
421 Lakeview Ave
Clifton, NJ 07011-4035
Mailing address
421 Lakeview Ave
Clifton, NJ 07011-4035
Phone (973) 772-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076775 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598824070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 LAKEVIEW AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070114035",
"telephone_number": "973-772-1901",
"fax_number": "973-772-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 LAKEVIEW AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070114035",
"telephone_number": "973-772-1901",
"fax_number": "973-772-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEMM INTERNATIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SULAIMAN",
"authorized_official_first_name": "EKHLAS",
"authorized_official_middle_name": "JAWDAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-772-1901"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076775",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.