Organization Active NPI

Willow Medical

  • Durable Medical Equipment & Medical Supplies
  • Trenton, NJ
National Provider Identifier
1720043409
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0089036MedicaidNJ

Other names 1

  • W. SCOTT TAYLOR MEDICAL & SURGICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shore Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.