Active NPI
Pulmohab, LLC
- Home Health Agency
- Clifton, NJ
National Provider Identifier
1932376027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PULMOHAB, LLC
- Practice address
- 575 Lexington Ave
Clifton, NJ 07011-1226 - Phone
- (973) 390-3191
- Fax
- (707) 221-7688
- NPI assigned
- May 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Juan Jose Rivera, RRT
- Title
- Ceo
- Phone
- (973) 390-3191
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NJ | Primary | |
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NJ | ||
| Customized Equipment (DME) | 332BC3200X | NJ | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NJ | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NJ | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NJ |
Addresses
Primary practice location
575 Lexington Ave
Clifton, NJ 07011-1226
Mailing address
575 Lexington Ave
Clifton, NJ 07011-1226
Phone (973) 390-3191
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210204800000",
"number": "1932376027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111226",
"telephone_number": "973-390-3191",
"fax_number": "707-221-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111226",
"telephone_number": "973-390-3191",
"fax_number": "707-221-7688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMOHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-390-3191",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.