Organization Active NPI

Jay Enterprises of NC, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Matthews, NC
National Provider Identifier
1609834738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAY ENTERPRISES OF NC, INC.
Practice address
4410 Friendship Dr
Matthews, NC 28105-5901
Phone
(704) 821-7777
Fax
(704) 821-2766
NPI assigned
May 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert J Buinicky
Title
President
Phone
(704) 821-7777

Specialties & licenses 1

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

Addresses

Primary practice location

4410 Friendship Dr
Matthews, NC 28105-5901

Mailing address

PO Box 18852
Charlotte, NC 28218-0852
Phone (704) 821-7777

Other identifiers 1

IdentifierTypeStateIssuer
7701752MedicaidNC

National Provider Directory

National Provider Directory

Locations

4410 Friendship Dr
Matthews, NC 28105
Phone (704) 821-7777

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609834738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18852",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282180852",
            "telephone_number": "704-821-7777",
            "fax_number": "704-821-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 FRIENDSHIP DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055901",
            "telephone_number": "704-821-7777",
            "fax_number": "704-821-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ENTERPRISES OF NC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUINICKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-821-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

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.

Verify at the official NPI Registry.