Metro Installations Mobility Provider Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

METRO INSTALLATIONS MOBILITY PROVIDER INC

Practice address

146 Brighton Ave
East Orange, NJ 07017-1801

Phone

(862) 520-1653

Fax

(973) 206-6954

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lincoln Black Sr.

Title

Ceo

Phone

(973) 220-7128

Specialties & licenses 1

Addresses

Other names 1

• SIMON PETERS Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1871731893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BRIGHTON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171801",
            "telephone_number": "862-520-1653",
            "fax_number": "973-206-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BRIGHTON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171801",
            "telephone_number": "862-520-1653",
            "fax_number": "973-206-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO INSTALLATIONS MOBILITY PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-220-7128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMON PETERS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in East Orange, NJ
• Providers in East Orange, 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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.