In Home Lymphatic Care

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IN HOME LYMPHATIC CARE

Practice address

17 Highland Dr
Jackson, NJ 08527-1235

Phone

(732) 291-3705

Fax

(732) 291-0787

NPI assigned

Oct 10, 2008

Last updated

Feb 17, 2011By 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

Mr. Michael Gerard Lupo

Title

Cfo

Phone

(732) 291-3705

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1841442670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HIGHLAND DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271235",
            "telephone_number": "732-291-3705",
            "fax_number": "732-291-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HIGHLAND DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271235",
            "telephone_number": "732-291-3705",
            "fax_number": "732-291-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME LYMPHATIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LUPO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-291-3705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.