Active NPI
Willow Medical
- Durable Medical Equipment & Medical Supplies
- Trenton, NJ
National Provider Identifier
1720043409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WILLOW MEDICAL
- Practice address
- 940 Brunswick Ave
Trenton, NJ 08638-3943 - Phone
- (609) 599-9371
- Fax
- (609) 599-2366
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Thomas Price Jr., N/A
- Title
- President/Owner
- Phone
- (609) 599-9371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
940 Brunswick Ave
Trenton, NJ 08638-3943
Mailing address
940 Brunswick Ave
Trenton, NJ 08638-3943
Phone (609) 599-9371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089036 | Medicaid | NJ |
Other names 1
- W. SCOTT TAYLOR MEDICAL & SURGICAL SUPPLIES
National Provider Directory
National Provider Directory- Tax ID family
- Shore Medical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Somers Point, NJ
- NPI 1598720286
-
- Oxygen Equipment & Supplies (DME)
- La Plata, MD
- NPI 1134184195
Locations
940 Brunswick Ave
Trenton, NJ 08638
Phone (609) 599-9371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1720043409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086383943",
"telephone_number": "609-599-9371",
"fax_number": "609-599-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BRUNSWICK AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086383943",
"telephone_number": "609-599-9371",
"fax_number": "609-599-2366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "609-599-9371",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "N/A"
},
"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": "0089036",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "W. SCOTT TAYLOR MEDICAL & SURGICAL SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.