Organization Active NPI

Smita Malhotra

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1659540102
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SMITA MALHOTRA
Practice address
1650 San Pablo Rd S
Ste 2
Jacksonville, FL 32224-1036
Phone
(904) 821-8829
Fax
(904) 821-8830
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Smita MalhotraNPI 1174511018
Title
President/Owner
Phone
(904) 821-8829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1650 San Pablo Rd S
Ste 2
Jacksonville, FL 32224-1036

Mailing address

1650 San Pablo Rd S
Ste 2
Jacksonville, FL 32224-1036
Phone (904) 821-8829

National Provider Directory

National Provider Directory

Locations

1650 San Pablo Rd S
Ste 2
Jacksonville, FL 32224
Phone (904) 220-0620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1659540102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAN PABLO RD S",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241036",
            "telephone_number": "904-821-8829",
            "fax_number": "904-821-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAN PABLO RD S",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241036",
            "telephone_number": "904-821-8829",
            "fax_number": "904-821-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITA MALHOTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-821-8829"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.