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SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC NPI 1215019757


NPI Information

NPI: 1215019757
Provider Name: SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1230 SPRINGFIELD AVE
IRVINGTON, NJ
ZIP 07111
Phone: (973) 399-4009
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SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC is a durable medical equipment medical supplies in Irvington, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC NPI is 1215019757. The provider is registered as an organization entity type.

The provider's business location address is:

1230 SPRINGFIELD AVE
IRVINGTON, NJ
ZIP 07111-982
Phone: (973) 399-4009
Fax: (973) 399-4033

The provider's authorized official is Charles Idemudia Igiehon .
The authorized official title is Ceo and has the following contact phone number (973) 399-4009.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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