Active NPIOrganization

I.d.m. Medical Supply Co

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Wyckoff, New Jersey

NPI Number1467610600
Practice location
620 Braen Ave, Wyckoff, NJ 07481-2914
Fax
201-445-2274
Last updated
July 18, 2008

I.d.m. Medical Supply Co is a healthcare organization based in Wyckoff, NJ. I.d.m. Medical Supply Co practices in Wyckoff, NJ. The NPI Number for I.d.m. Medical Supply Co is 1467610600 and holds a License No. 0691822 (NJ). The current practice location address for I.d.m. Medical Supply Co is 620 Braen Ave, Wyckoff, NJ 07481-2914 and can be reached out via phone at 201-445-8500 and via fax at 201-445-2274.

Provider Profile Details

NPI Number
1467610600
Provider Name
I.d.m. Medical Supply Co
Provider Entity Type
Organization
Address
620 Braen Ave, Wyckoff, NJ 07481-2914
Phone Number
201-445-8500
Fax Number
201-445-2274
Organization Subpart
No
Authorized Official
Mr. Robert Gonnello · General Manager · 201-445-8500
Provider Enumeration Date
May 23, 2008
Last Update Date
July 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
620 Braen Ave
Wyckoff, NJ 07481-2914
Zip
07481-2914
Phone Number
201-445-8500
Fax Number
201-445-2274
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
620 Braen Ave
Wyckoff, NJ 07481-2914
City
Wyckoff
State
NJ
Zip
07481-2914
Phone Number
201-445-8500
Fax Number
201-445-2274

License Information

License Number
0691822
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of I.d.m. Medical Supply Co?

The NPI number of I.d.m. Medical Supply Co is 1467610600. It was assigned on May 23, 2008 and is currently active in the NPPES registry.

What is the specialty of I.d.m. Medical Supply Co?

I.d.m. Medical Supply Co is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (code 332BX2000X), licensed in NJ under license number 0691822.

Where does I.d.m. Medical Supply Co practice?

The practice location is 620 Braen Ave, Wyckoff, NJ 07481-2914. The office can be reached at 201-445-8500 (phone) or 201-445-2274 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467610600 directly on the NPPES registry website.

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