NPIMap

Organization Active NPI

Medassist USA LLC

  • Case Management Agency
  • Lakewood, NJ
National Provider Identifier
1982211439
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MEDASSIST USA LLC
Practice address
419 E County Line Rd
Lakewood, NJ 08701-1426
Phone
(845) 377-6670
NPI assigned
Sep 29, 2020
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Avrohom Ellinson
Title
Owner
Phone
(732) 404-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

419 E County Line Rd
Lakewood, NJ 08701-1426

Mailing address

4 McKinley Ave
Lakewood, NJ 08701-2377
Phone (732) 404-7202

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaya@medequipped.com Direct

National Provider Directory

National Provider Directory

Locations

1770 W County Line Rd
Unit 105
Lakewood, NJ 08701
Phone (732) 404-7202

9 Perlman Dr
Ste 202
Spring Valley, NY 10977

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1982211439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MCKINLEY AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012377",
            "telephone_number": "732-404-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E COUNTY LINE RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011426",
            "telephone_number": "845-377-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDASSIST USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "ELLINSON",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-404-7202"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaya@medequipped.com",
            "affiliation": "N",
            "endpointDescription": "Owner email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1770 W County Line Rd Unit 105",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087011176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.