Matawan HME Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0450220666 Issued in NJ

Legal business name

MATAWAN HME INC

Practice address

169 Main St Ste 102
Matawan, NJ 07747-4105

Phone

(732) 395-2695

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Ekaterina Andreeva

Title

President

Phone

(732) 395-2695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1609381375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MAIN ST STE 102",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474105",
            "telephone_number": "732-395-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MAIN ST STE 102",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474105",
            "telephone_number": "732-395-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAWAN HME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "ANDREEVA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-395-2695"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0450220666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Matawan, NJ
• Providers in Matawan, 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 Dec 4, 2017; 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.