Atlantic Surgical Supply Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0400489660 Issued in NJ

Legal business name

ATLANTIC SURGICAL SUPPLY CORPORATION

Practice address

591 Summit Ave Ste 619
Jersey City, NJ 07306-2709

Phone

(201) 310-1530

Fax

(201) 433-0757

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Akhtar Siddiqui

Title

President

Phone

(201) 310-1530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1699034801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE STE 619",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062709",
            "telephone_number": "201-310-1530",
            "fax_number": "201-433-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE STE 619",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062709",
            "telephone_number": "201-310-1530",
            "fax_number": "201-433-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SURGICAL SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AKHTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-310-1530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NJ",
            "license": "0400489660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.