Organization Active NPI

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  • Customized Equipment (DME)
  • Randolph, NJ
National Provider Identifier
1669509667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
46TR00181500 Issued in NJ
Legal business name
BACK HOME SAFELY
Practice address
5 Tanglewood CT
Randolph, NJ 07869-4306
Phone
(973) 366-3988
NPI assigned
Feb 27, 2007
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. Gregg Frank, OTRL
Title
Owner
Phone
(973) 219-4147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 46TR00181500 NJ Primary

Addresses

Primary practice location

5 Tanglewood CT
Randolph, NJ 07869-4306

Mailing address

5 Tanglewood CT
Randolph, NJ 07869-4306
Phone (973) 366-3988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669509667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TANGLEWOOD CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694306",
            "telephone_number": "973-366-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TANGLEWOOD CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694306",
            "telephone_number": "973-366-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK HOME SAFELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-219-4147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "46TR00181500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

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.