St Clara Medical Supplies Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ST CLARA MEDICAL SUPPLIES CORP

Practice address

125 48TH St
Union City, NJ 07087-6454

Phone

(201) 863-2424

Fax

(201) 863-8585

NPI assigned

Aug 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Pereira Sr.

Title

President

Phone

(201) 863-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841209731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 48TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876454",
            "telephone_number": "201-863-2424",
            "fax_number": "201-863-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 48TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876454",
            "telephone_number": "201-863-2424",
            "fax_number": "201-863-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARA MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-863-2424",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7813406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Socas, R.PH.
• Linda O. Sofer, LCSW
• Carol Roxana Solis Sanchez, APN
• Kristina A Spadavecchia, D.P.T.
• Sonja Spurkeland, CPNP
• May Steinberg
• Stephen Thomsen MD PA
• Stepping Stones ABA LLC
• Kimberly Shontelle Stevenson
• Sugarrx Inc

• Oxygen Equipment & Supplies (DME) in Union City, NJ
• Providers in Union City, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• 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.