J.P. Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

30290164 Issued in MD

Legal business name

J.P. MEDICAL SUPPLY INC.

Practice address

3301 Belair Rd
Baltimore, MD 21213-1202

Phone

(443) 621-1759

Fax

(410) 358-0093

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roman Balakirsky

Title

Principal

Phone

(410) 486-2298

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821292665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131202",
            "telephone_number": "443-621-1759",
            "fax_number": "410-358-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131202",
            "telephone_number": "443-621-1759",
            "fax_number": "410-358-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.P. MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALAKIRSKY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "410-486-2298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "30290164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.