Kimba Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KIMBA MEDICAL SUPPLY LLC

Practice address

1800 Boulevard
Seaside Park, NJ 08752-1209

Phone

(732) 793-1770

Fax

(732) 793-1755

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By 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

Michael Golowski

Title

President

Phone

(732) 793-1770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1851604532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BOULEVARD",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087521209",
            "telephone_number": "732-793-1770",
            "fax_number": "732-793-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BOULEVARD",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087521209",
            "telephone_number": "732-793-1770",
            "fax_number": "732-793-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "GOLOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-793-1770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Aftel, M.D.
• Faith Eileen Belcuore
• Kathleen W Hughes, LCSW
• Jessica O'Gara -Mankowski, BA/MSW
• Kelly B Petrone, OT
• Seaside Pharmacy
• Edward Charles Shadiack Jr., D.O.
• Kenn Treidel, RP

• Durable Medical Equipment & Medical Supplies in Seaside Park, NJ
• Providers in Seaside Park, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.