Back Pain Home Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0400601424 Issued in NJ

Legal business name

BACK PAIN HOME SUPPLIES

Practice address

1133 E Chestnut Ave
BLDG 2
Vineland, NJ 08360-5001

Phone

(856) 691-0482

Fax

(856) 690-8822

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Julie Marquez

Title

Owner

Phone

(856) 691-0482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1780005801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E CHESTNUT AVE",
            "address_2": "BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605001",
            "telephone_number": "856-691-0482",
            "fax_number": "856-690-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E CHESTNUT AVE",
            "address_2": "BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605001",
            "telephone_number": "856-691-0482",
            "fax_number": "856-690-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN HOME SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-0482"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0400601424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Baker Aid Opco LLC

• Durable Medical Equipment & Medical Supplies in Vineland, NJ
• Providers in Vineland, 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 Apr 16, 2014; 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.