Organization Active NPI

Roses Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • East Orange, NJ
National Provider Identifier
1780671214
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5002963 Issued in NJ
Legal business name
ROSES MEDICAL SUPPLY
Practice address
90 Washington St
Suite 307
East Orange, NJ 07017-1050
Phone
(973) 675-0725
Fax
(973) 675-0726
NPI assigned
Sep 30, 2005
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Ms. Roseline Okrakpo
Title
Owner
Phone
(973) 675-0725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5002963 NJ Primary

Addresses

Primary practice location

90 Washington St
Suite 307
East Orange, NJ 07017-1050

Mailing address

90 Washington St
Suite 307
East Orange, NJ 07017-1050
Phone (973) 675-0725

Other identifiers 1

IdentifierTypeStateIssuer
0006173MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1780671214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "address_2": "SUITE 307",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-675-0725",
            "fax_number": "973-675-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "address_2": "SUITE 307",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-675-0725",
            "fax_number": "973-675-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSES MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "OKRAKPO",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-675-0725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "5002963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006173",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.