Community Surgical Supply of Toms River, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, INC.

Practice address

329 E Jimmie Leeds Rd
Suite 3
Galloway, NJ 08205-4110

Phone

(609) 404-0314

NPI assigned

Dec 1, 2011

Last updated

Jan 15, 2013By 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. Michael Fried

Title

Ceo

Phone

(732) 349-2990

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1881962181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4686",
            "address_2": "1390 RT. 37 WEST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544686",
            "telephone_number": "732-349-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD",
            "address_2": "SUITE 3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-404-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-349-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Lee Coulter, MS, CCC-SLP
• Deborah Countouris, APN-C

• Oxygen Equipment & Supplies (DME) in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.