Medik Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIK INC

Practice address

1156A E Jersey St
Elizabeth, NJ 07201-2311

Phone

(908) 289-9111

Fax

(908) 289-9322

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Inessa Kogan

Title

President

Phone

(908) 289-9111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760416705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156A E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012311",
            "telephone_number": "908-289-9111",
            "fax_number": "908-289-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156A E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012311",
            "telephone_number": "908-289-9111",
            "fax_number": "908-289-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-289-9111"
    },
    "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": "0074616",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Elizabeth, NJ
• Providers in Elizabeth, 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 Aug 22, 2020; 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.