Organization Active NPI

Med-Stat Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
National Provider Identifier
1932296753
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED-STAT HEALTHCARE INC
Practice address
150 Orange St
Bloomfield, NJ 07003-4704
Phone
(973) 429-4994
Fax
(973) 429-8390
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mr. Jose Kureekattil Joy, RRT
Title
Director
Phone
(973) 429-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

150 Orange St
Bloomfield, NJ 07003-4704

Mailing address

150 Orange St
Bloomfield, NJ 07003-4704
Phone (973) 429-4994

Other identifiers 1

IdentifierTypeStateIssuer
8554609MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003563 NJ DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3476674953 Practice locations: Bloomfield, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Med-Stat Healthcare Inc150 Orange St, Bloomfield, NJ 07003-4704(973) 429-4994 Commodes, Urinals, Bedpans|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchair Seating/Cushions|… Accepts assignmentParticipating since Mar 8, 1999

National Provider Directory

National Provider Directory

Locations

150 Orange St
Bloomfield, NJ 07003
Phone (973) 429-4994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1932296753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ORANGE ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034704",
            "telephone_number": "973-429-4994",
            "fax_number": "973-429-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ORANGE ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034704",
            "telephone_number": "973-429-4994",
            "fax_number": "973-429-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-STAT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "KUREEKATTIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-429-4994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8554609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.