Jtbmedical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JTBMEDICAL LLC

Doing business as

Pushane Alexander

Practice address

4334 Jefferson St
Gary, IN 46408-3350

Phone

(219) 884-1409

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Pushane Latrease Alexander

Title

President

Phone

(219) 884-1409

Specialties & licenses 1

Addresses

Other names 1

• PUSHANE ALEXANDER Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992747364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W 35TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081564",
            "telephone_number": "219-884-1409",
            "fax_number": "219-951-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 JEFFERSON ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464083350",
            "telephone_number": "219-884-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTBMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PUSHANE",
        "authorized_official_middle_name": "LATREASE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-884-1409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUSHANE ALEXANDER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Gary, IN
• Providers in Gary, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.