Organization Active NPI

J M Clemente Co

  • Durable Medical Equipment & Medical Supplies
  • Warren, OH
National Provider Identifier
1780019463
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2939388 Issued in OH
Legal business name
J M CLEMENTE CO
Practice address
180 N Park Ave
Warren, OH 44481-1126
Phone
(330) 392-7069
Fax
(330) 392-7071
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
J Mark Clemente
Title
Owner / President
Phone
(330) 392-7072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2939388 OH Primary

Addresses

Primary practice location

180 N Park Ave
Warren, OH 44481-1126

Mailing address

3100 Niles Rd SE
Warren, OH 44484-3276
Phone (330) 392-7072

Other identifiers 1

IdentifierTypeStateIssuer
2939388MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
JM Clemente Co LTD3 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

180 N Park Ave
Warren, OH 44481
Phone (330) 392-7069

3100 Niles Rd SE
Warren, OH 44484
Phone (330) 392-7069

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1780019463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NILES RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843276",
            "telephone_number": "330-392-7072",
            "fax_number": "330-392-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N PARK AVE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811126",
            "telephone_number": "330-392-7069",
            "fax_number": "330-392-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M CLEMENTE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "330-392-7072"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "2939388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.