Jersey City Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JERSEY CITY MEDICAL SUPPLIES INC

Practice address

418 Baldwin Ave
Suite 2
Jersey City, NJ 07306-1675

Phone

(201) 217-9950

Fax

(201) 217-9952

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Tomas Santiago

Title

Owner

Phone

(201) 217-9950

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Jersey City Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jersey City Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jersey City, NJ
  • NPI 1871553875
  NPD tax ID

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1992152268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BALDWIN AVE",
            "address_2": "SUITE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061675",
            "telephone_number": "201-217-9950",
            "fax_number": "201-217-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BALDWIN AVE",
            "address_2": "SUITE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061675",
            "telephone_number": "201-217-9950",
            "fax_number": "201-217-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-217-9950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289264",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8565601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey City Medical Center
• Jersey City Medical Center
• Jersey City Medical Center
• Jersey City Medical Center
• Jersey City Medical Center-RWJ Barnabas Health
• Jersey City Medical Supplies, Inc
• Jersey City Neck & Back Center, PC
• Jersey City Optometry PC
• Jersey City Oral Surgery & Dental Implant Center
• Jersey City Pathology Group, PA

• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.