J & J Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1888921 Issued in NJ

Legal business name

J & J MEDICAL SUPPLY CORP

Practice address

669 Broadway
Paterson, NJ 07514-1947

Phone

(973) 553-2405

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nieves Timiraos

Title

President

Phone

(973) 553-2405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1912391749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141947",
            "telephone_number": "973-553-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "TIMIRAOS",
        "authorized_official_first_name": "NIEVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-553-2405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "1888921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saima Islam, MD
• Eman Ismail
• Mourad M Ismail, M.D.
• Jenna Celeste Itri, DO
• Kevin J Iula, OTR
• J & J Medical Supply LLC
• Norma Jackson Feliciano, RN
• Justin Albert Jackson, CPRS
• Stephanie T Jacobovits, DMD
• Amy Jacobs

• Durable Medical Equipment & Medical Supplies in Paterson, NJ
• Providers in Paterson, 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 Mar 18, 2015; 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.