Strac Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

STRAC MEDICAL LLC

Practice address

75 Washington Valley Rd Suite 170
Bedminster, NJ 07921

Phone

(908) 295-1015

Fax

(908) 345-5097

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Roy Devries

Title

President

Phone

(908) 295-1015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1922584655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON VALLEY RD SUITE 170",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-295-1015",
            "fax_number": "908-345-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON VALLEY RD SUITE 170",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-295-1015",
            "fax_number": "908-345-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-295-1015"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1194249250",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.