Active NPI
J M Clemente Co
- Durable Medical Equipment & Medical Supplies
- Warren, OH
National Provider Identifier
1780019463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2939388
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2939388 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- JM Clemente Co LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Warren, OH
- NPI 1659607455
-
- Durable Medical Equipment & Medical Supplies
- Warren, OH
- NPI 1659608685
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.