Organization Active NPI

Ridge Medical Supplies Corp.

  • Prosthetic/Orthotic Supplier
  • Manalapan, NJ
National Provider Identifier
1619947173
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
0987420002 Issued in NY
Legal business name
RIDGE MEDICAL SUPPLIES CORP.
Practice address
210 Bridge Plaza Dr
Manalapan, NJ 07726-1729
Phone
(732) 617-8203
Fax
(732) 617-8204
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Boris Khanis, CFO
Title
President
Phone
(732) 617-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0987420002 NY
Prosthetic/Orthotic Supplier 335E00000X 0987420002 NY Primary

Addresses

Primary practice location

210 Bridge Plaza Dr
Manalapan, NJ 07726-1729

Mailing address

210 Bridge Plaza Dr
Manalapan, NJ 07726-1729
Phone (732) 617-8203

National Provider Directory

National Provider Directory

Locations

210 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 617-8203

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619947173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261729",
            "telephone_number": "732-617-8203",
            "fax_number": "732-617-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261729",
            "telephone_number": "732-617-8203",
            "fax_number": "732-617-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE MEDICAL SUPPLIES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KHANIS",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-617-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0987420002",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "0987420002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.