Premier Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER MEDICAL EQUIPMENT, LLC

Practice address

3110 Promenade Blvd
Fair Lawn, NJ 07410-2777

Phone

(201) 543-3640

Fax

(201) 781-5686

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Marlene A VangelasNPI 1982064671

Title

Owner

Phone

(201) 819-2968

Specialties & licenses 1

Addresses

Practitioners 2

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

• Marlene Vangelas

  • Pharmacy
  • Brooklyn, NY
  • NPI 1982064671
  NPD (past) Authorized official
• Estela Blaustein, RPH, FAARM

  • Pharmacotherapy Pharmacist
  • Fair Lawn, NJ
  • NPI 1619358728
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1679942569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BROOK AVE",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076755700",
            "telephone_number": "201-543-3640",
            "fax_number": "201-781-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 PROMENADE BLVD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102777",
            "telephone_number": "201-543-3640",
            "fax_number": "201-781-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "VANGELAS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-819-2968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• 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 Sep 21, 2015; 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.