Organization Active NPI

Elite Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Canton, MI
National Provider Identifier
1932424173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE MEDICAL SUPPLIES
Practice address
5880 N Canton Center Rd Ste 412
Canton, MI 48187-2686
Phone
(734) 335-7575
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mukhwant Nijjar
Title
Vice President
Phone
(734) 335-7575

Specialties & licenses 1

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

Addresses

Primary practice location

5880 N Canton Center Rd Ste 412
Canton, MI 48187-2686

Mailing address

5880 N Canton Center Rd Ste 412
Canton, MI 48187-2686
Phone (734) 335-7575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932424173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 412",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872686",
            "telephone_number": "734-335-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 412",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872686",
            "telephone_number": "734-335-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIJJAR",
        "authorized_official_first_name": "MUKHWANT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "734-335-7575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.