Organization Active NPI

Garden State DME Suppliers LLC

  • Durable Medical Equipment & Medical Supplies
  • Wall Township, NJ
National Provider Identifier
1962027573
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GARDEN STATE DME SUPPLIERS LLC
Practice address
1930 Highway 35 Ste 4
Wall Township, NJ 07719-3538
Phone
(732) 522-1652
Fax
(732) 974-7964
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Dr. Lisa A Forzani, DCNPI 1659306058
Title
Owner
Phone
(732) 522-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1930 Highway 35 Ste 4
Wall Township, NJ 07719-3538

Mailing address

1930 Highway 35 Ste 4
Wall Township, NJ 07719-3538
Phone (732) 522-1652

Other names 1

  • Garden State DME Suppliers LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Highway 35
Ste 4
Wall Township, NJ 07719
Phone (732) 522-1652

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1962027573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 HIGHWAY 35 STE 4",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193538",
            "telephone_number": "732-522-1652",
            "fax_number": "732-974-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HIGHWAY 35 STE 4",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193538",
            "telephone_number": "732-522-1652",
            "fax_number": "732-974-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DME SUPPLIERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "FORZANI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-522-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden State DME Suppliers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.