E & K Medical Supply LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43ZA00487300 Issued in NJ

Legal business name

E & K MEDICAL SUPPLY LLC.

Practice address

256 Grant Ave
East Newark, NJ 07029-2780

Phone

(973) 900-9802

Fax

(973) 900-9812

NPI assigned

Jan 21, 2010

Last updated

Aug 25, 2011By 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

Miss Kimberly Perez

Title

Owner

Phone

(862) 368-0338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1609107283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 GRANT AVE",
            "city": "EAST NEWARK",
            "state": "NJ",
            "postal_code": "070292780",
            "telephone_number": "973-900-9802",
            "fax_number": "973-900-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GRANT AVE",
            "city": "EAST NEWARK",
            "state": "NJ",
            "postal_code": "070292780",
            "telephone_number": "973-900-9802",
            "fax_number": "973-900-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & K MEDICAL SUPPLY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-368-0338",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "43ZA00487300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serg Mari Sanchez Entise, BSPT
• Shubhangi Thakar

• Durable Medical Equipment & Medical Supplies in East Newark, NJ
• Providers in East Newark, 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 25, 2011; 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.