Lincoln Medical Supply Co., LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LINCOLN MEDICAL SUPPLY CO., LLC

Practice address

913 N Main St
Pleasantville, NJ 08232-1401

Phone

(609) 641-4050

Fax

(609) 641-7650

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Alan Reses, R.PH

Title

Owner

Phone

(609) 641-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1609877992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082321401",
            "telephone_number": "609-641-4050",
            "fax_number": "609-641-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082321401",
            "telephone_number": "609-641-4050",
            "fax_number": "609-641-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL SUPPLY CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "RESES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-641-4050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8553904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry M Fuerman OD & Scott a Fuerman OD PTR
• Thuyngoc Le, PHARM.D
• Thomas L. Letizia, DDS, MAGD, FICOI, PA
• Elizabeth Kroliczak Lewis, APN
• Sheila Lill, MSN, APN
• Lions Vision Care Ctr of S Jersey
• Luisito Raymund Cruz Lipana, P.T.
• LJ Arch and Jefferson Van Drew
• Justin Luna, PHARMD
• Mainland Dental Associates

• All providers in Pleasantville, NJ
• 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 Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.