Functional Wellness Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FUNCTIONAL WELLNESS SUPPLY LLC

Practice address

136 Drum Point Rd Ste 5a
Brick, NJ 08723-6275

Phone

(732) 299-2793

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gerlando Salvatore Lotempio

Title

Manager

Phone

(732) 299-2793

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1861017709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DRUM POINT RD STE 5A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DRUM POINT RD STE 5A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236275",
            "telephone_number": "732-299-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL WELLNESS SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "LOTEMPIO",
        "authorized_official_first_name": "GERLANDO",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-299-2793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Arthur Fuller, PHARMD
• Catherine Fullowan, M.ED., CHES, NBC-HWC
• Glenda Soriano Fulo, NP
• Justine Fulton, PSYD
• Kathleen A. Fumando, PA-C
• Kent C Fung, M.D.
• Jennifer Leigh Furmato I
• Frank Fuscaldo Jr., D.C.
• Christine L Fuschetto, PT
• Jeffrey Gabriel, MSPT

• Durable Medical Equipment & Medical Supplies in Brick, NJ
• Providers in Brick, 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 Jun 16, 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.