Jersey City Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JERSEY CITY MEDICAL SUPPLIES, INC

Practice address

418 Baldwin Ave Ste 2
Jersey City, NJ 07306-1675

Phone

(201) 217-9950

Fax

(201) 217-9952

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Isaac T Santiago

Title

President

Phone

(201) 217-9950

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Jersey Medical Supplies Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Jersey City Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jersey City Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Jersey City, NJ
  • NPI 1992152268
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Peoplecare Inc

  • Durable Medical Equipment & Medical Supplies
  • Somerset, NJ
  • NPI 1639718422

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1871553875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BALDWIN AVE STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061675",
            "telephone_number": "201-217-9950",
            "fax_number": "201-217-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BALDWIN AVE STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061675",
            "telephone_number": "201-217-9950",
            "fax_number": "201-217-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-217-9950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PD00000800",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00012000",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8565601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Medical Supplies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jersey City Medical Center
• Jersey City Medical Center
• Jersey City Medical Center (Jersey City Medical Center/AMB)
• Jersey City Medical Center-RWJ Barnabas Health
• Jersey City Medical Supplies Inc
• Jersey City Neck & Back Center, PC
• Jersey City Optometry PC
• Jersey City Oral Surgery & Dental Implant Center
• Jersey City Pathology Group, PA
• Jersey City Pediatric Dentistry, LLC

• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, 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 Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.