Organization Active NPI

Decorazon Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Elizabeth, NJ
National Provider Identifier
1659566115
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DECORAZON MEDICAL SUPPLY
Practice address
927 Elizabeth Ave
Elizabeth, NJ 07201-2710
Phone
(908) 351-4747
Fax
(908) 351-5094
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Reynaldo Guedes
Title
Owner
Phone
(908) 351-4747

Specialties & licenses 1

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

Addresses

Primary practice location

927 Elizabeth Ave
Elizabeth, NJ 07201-2710

Mailing address

927 Elizabeth Ave
Elizabeth, NJ 07201-2710
Phone (908) 351-4747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1659566115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012710",
            "telephone_number": "908-351-4747",
            "fax_number": "908-351-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012710",
            "telephone_number": "908-351-4747",
            "fax_number": "908-351-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECORAZON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "GUEDES",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-351-4747"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.