J & J Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1226387 Issued in NJ

Legal business name

J & J MEDICAL SUPPLY LLC

Practice address

669 Broadway
Ground Floor
Paterson, NJ 07514-1947

Phone

(973) 553-2405

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Nieves D Timiraos, DMEPOS

Title

Mannager

Phone

(973) 553-2405

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1689845992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 5TH AVE",
            "address_2": "1RS FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "address_2": "GROUND FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141947",
            "telephone_number": "973-553-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "TIMIRAOS",
        "authorized_official_first_name": "NIEVES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANNAGER",
        "authorized_official_telephone_number": "973-553-2405",
        "authorized_official_credential": "DMEPOS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "1226387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "460160",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213942",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eman Ismail
• Mourad M Ismail, M.D.
• Jenna Celeste Itri, DO
• Kevin J Iula, OTR
• J & J Medical Supply Corp
• Norma Jackson Feliciano, RN
• Justin Albert Jackson, CPRS
• Stephanie T Jacobovits, DMD
• Amy Jacobs
• Jeffrey M Jacobs, D.C.

• Durable Medical Equipment & Medical Supplies in Paterson, NJ
• Providers in Paterson, 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 Jul 11, 2011; 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.