Organization Active NPI

Middletown Surgical Supply, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Middletown, NJ
National Provider Identifier
1871642322
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
MIDDLETOWN SURGICAL SUPPLY, INC.
Practice address
104 Kings Hwy
Middletown, NJ 07748-2025
Phone
(732) 706-9117
Fax
(732) 706-0462
NPI assigned
Jan 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Diane M Dipalo
Title
Vice President
Phone
(732) 706-9117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU Primary

Addresses

Primary practice location

104 Kings Hwy
Middletown, NJ 07748-2025

Mailing address

104 Kings Hwy
Middletown, NJ 07748-2025
Phone (732) 706-9117

Other identifiers 1

IdentifierTypeStateIssuer
8705208MedicaidNJ

National Provider Directory

National Provider Directory

Locations

104 Kings Hwy
Middletown, NJ 07748
Phone (732) 706-9117

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871642322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KINGS HWY",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482025",
            "telephone_number": "732-706-9117",
            "fax_number": "732-706-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KINGS HWY",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482025",
            "telephone_number": "732-706-9117",
            "fax_number": "732-706-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN SURGICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DIPALO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-706-9117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8705208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.