Active NPI
Life Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Linden, NJ
National Provider Identifier
1831187186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LIFE MEDICAL SUPPLIES, INC.
- Practice address
- 631 E. Elizabeth Avenue
Linden, NJ 07036-2661 - Phone
- (908) 925-7691
- Fax
- (908) 925-1902
- NPI assigned
- Oct 11, 2005
- 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
- Ms. Miriam Taub
- Title
- President
- Phone
- (908) 925-7691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
631 E. Elizabeth Avenue
Linden, NJ 07036-2661
Mailing address
PO Box 4087
Linden, NJ 07036-8087
Phone (908) 925-7691
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5165008 | Medicaid | NJ | |
| 01400797 | Medicaid | NY |
Other names 1
- Life Medical Home Care
National Provider Directory
National Provider DirectoryLocations
631 E Elizabeth Ave
Linden, NJ 07036
Phone (908) 925-7691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1831187186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4087",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070368087",
"telephone_number": "908-925-7691",
"fax_number": "908-925-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 E. ELIZABETH AVENUE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362661",
"telephone_number": "908-925-7691",
"fax_number": "908-925-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE MEDICAL SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "TAUB",
"authorized_official_first_name": "MIRIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-925-7691",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5165008",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01400797",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Medical Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.