NPIMap

Organization Active NPI

Special Care Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Irvington, NJ
National Provider Identifier
1851565709
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPECIAL CARE MEDICAL SUPPLY
Practice address
828 Grove St
#4
Irvington, NJ 07111-3667
Phone
(888) 482-1113
Fax
(973) 745-2445
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Abigail Gyapomaa Yeboah
Title
Medical Supply Specialist
Phone
(516) 304-1261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

828 Grove St
#4
Irvington, NJ 07111-3667

Mailing address

828 Grove St
#4
Irvington, NJ 07111-3667
Phone (888) 482-1113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1851565709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 GROVE ST",
            "address_2": "#4",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113667",
            "telephone_number": "888-482-1113",
            "fax_number": "973-745-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 GROVE ST",
            "address_2": "#4",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113667",
            "telephone_number": "888-482-1113",
            "fax_number": "973-745-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "YEBOAH",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "GYAPOMAA",
        "authorized_official_title_or_position": "MEDICAL SUPPLY SPECIALIST",
        "authorized_official_telephone_number": "516-304-1261"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.