Active NPI
Inverse Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1811345549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- INVERSE MEDICAL, LLC
- Practice address
- 4904 Alameda Blvd NE Ste B
Albuquerque, NM 87113-2385 - Phone
- (505) 389-2279
- Fax
- (505) 212-0553
- NPI assigned
- Jun 3, 2016
- 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
- Mr. Johonniuss Chemweno
- Title
- Ceo/President
- Phone
- (505) 816-8014
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4904 Alameda Blvd NE Ste B
Albuquerque, NM 87113-2385
Mailing address
PO Box 90056
Albuquerque, NM 87199-0056
Phone (505) 816-8014
Other practice location 1
270 Denton Ave
New Hyde Park, NY 11040-3424
Phone (212) 261-6542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19121342 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Inverse Medical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1528764743
Locations
270 Denton Ave
New Hyde Park, NY 11040
Phone (212) 261-6542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1811345549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90056",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871990056",
"telephone_number": "505-816-8014",
"fax_number": "505-212-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 ALAMEDA BLVD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132385",
"telephone_number": "505-389-2279",
"fax_number": "505-212-0553"
}
],
"practiceLocations": [
{
"address_1": "270 Denton Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110403424",
"country_code": "US",
"telephone_number": "212-261-6542",
"fax_number": "505-212-0553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INVERSE MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-03",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "CHEMWENO",
"authorized_official_first_name": "JOHONNIUSS",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "505-816-8014",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19121342",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.