Active NPI
A & J Medical Supply Corp
- Parenteral & Enteral Nutrition Supplies (DME)
- Baltimore, MD
National Provider Identifier
1851076897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- A & J MEDICAL SUPPLY CORP
- Practice address
- 403 Nottingham Rd
Baltimore, MD 21229-2439 - Phone
- (954) 234-4312
- NPI assigned
- Jun 19, 2023
- Last updated
- Jun 19, 2023
- 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
- Jamella White
- Title
- Owner
- Phone
- (954) 234-4312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | Primary |
Addresses
Primary practice location
403 Nottingham Rd
Baltimore, MD 21229-2439
Mailing address
403 Nottingham Rd
Baltimore, MD 21229-2439
Phone (954) 234-4312
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aandjmedicalsupply@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1851076897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 NOTTINGHAM RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212292439",
"telephone_number": "954-234-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 NOTTINGHAM RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212292439",
"telephone_number": "954-234-4312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & J MEDICAL SUPPLY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JAMELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-234-4312"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "aandjmedicalsupply@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "403 Nottingham Rd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212292439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.