B & L Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

B & L MEDICAL SUPPLY, INC

Practice address

23-21 Broadway
Fair Lawn, NJ 07410

Phone

(201) 797-0304

Fax

(201) 797-0454

NPI assigned

Jun 7, 2006

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raisa Brodsky

Title

President

Phone

(201) 797-0304

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1689614984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-21 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-0304",
            "fax_number": "201-797-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-21 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-0304",
            "fax_number": "201-797-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & L MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-797-0304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8218102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "94289",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000205600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2489251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara A. Augustine, LCSW
• Aurora Oral Surgery Associates PC
• Nyrie Austin, NURSE PRACTITIONER
• Anna M Avanesyan, PA-C
• Rossy Azcona
• B&D Smile PC
• Adejoke Abolade Babalola, D.P.M
• Back to Motion, LLC
• Jung Yoon Back, L.AC
• Tahany Badah, M.S. CCC-SLP

• 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 May 1, 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.