Vicend Medical Equipment Suppies & Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICEND MEDICAL EQUIPMENT SUPPIES & SERVICE

Practice address

5918 Main Street
Suites 102 103
Mayslanding, NJ 08330

Phone

(609) 909-2708

Fax

(609) 909-2709

NPI assigned

Jan 9, 2007

Last updated

Aug 22, 2020By 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

Mr. Victor Okon Ukpe

Title

Owner

Phone

(609) 909-2708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871642033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 MAIN STREET",
            "address_2": "SUITES 102 103",
            "city": "MAYSLANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-909-2708",
            "fax_number": "609-909-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 MAIN STREET",
            "address_2": "SUITES 102 103",
            "city": "MAYSLANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-909-2708",
            "fax_number": "609-909-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICEND MEDICAL EQUIPMENT SUPPIES & SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UKPE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OKON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-909-2708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041491",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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