East Coast Surgical & Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST COAST SURGICAL & MEDICAL SUPPLY, LLC

Practice address

165 Main St
Hackensack, NJ 07601-7124

Phone

(201) 487-1812

Fax

(845) 623-8233

NPI assigned

Jan 19, 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. Leonard Lipsky

Title

General Partner

Phone

(201) 487-1812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891848198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017124",
            "telephone_number": "201-487-1812",
            "fax_number": "845-623-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017124",
            "telephone_number": "201-487-1812",
            "fax_number": "845-623-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST SURGICAL & MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPSKY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "201-487-1812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.