Organization Active NPI

Supreme Medical Solutions

  • Durable Medical Equipment & Medical Supplies
  • Red Bank, NJ
National Provider Identifier
1952888711
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPREME MEDICAL SOLUTIONS
Practice address
1 Harding Rd Ste 209
Red Bank, NJ 07701-2040
Phone
(732) 747-2897
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Rick Samuel Villanova
Title
President
Phone
(732) 747-2897

Specialties & licenses 1

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

Addresses

Primary practice location

1 Harding Rd Ste 209
Red Bank, NJ 07701-2040

Mailing address

1 Harding Rd Ste 209
Red Bank, NJ 07701-2040
Phone (732) 747-2897

National Provider Directory

National Provider Directory

Locations

1 Harding Rd
Ste 209
Red Bank, NJ 07701
Phone (201) 388-1361

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1952888711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARDING RD STE 209",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012040",
            "telephone_number": "732-747-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARDING RD STE 209",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012040",
            "telephone_number": "732-747-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "VILLANOVA",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-747-2897"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.