Functional Wellness Supply LLC
Durable Medical Equipment & Medical Supplies in Brick, New Jersey
1861017709- Practice location
- 136 Drum Point RD Ste 5A, Brick, NJ 08723-6275
- Phone
- 732-299-2793
- Fax
- —
- Last updated
- June 16, 2020
Functional Wellness Supply LLC is a healthcare organization based in Brick, NJ. Functional Wellness Supply LLC practices in Brick, NJ. The NPI Number for Functional Wellness Supply LLC is 1861017709. The current practice location address for Functional Wellness Supply LLC is 136 Drum Point RD Ste 5A, Brick, NJ 08723-6275 and can be reached out via phone at 732-299-2793.
Provider Profile Details
- NPI Number
- 1861017709
- Provider Name
- Functional Wellness Supply LLC
- Provider Entity Type
- Organization
- Address
- 136 Drum Point RD Ste 5A, Brick, NJ 08723-6275
- Phone Number
- 732-299-2793
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Gerlando Salvatore Lotempio · Manager · 732-299-2793
- Provider Enumeration Date
- June 16, 2020
- Last Update Date
- June 16, 2020
- Certification Date
- June 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 136 Drum Point RD Ste 5A
Brick, NJ 08723-6275 - City
- Brick
- State
- New Jersey
- Zip
- 08723-6275
- Phone Number
- 732-299-2793
Provider Business Mailing Address Details
- Address
- 136 Drum Point RD Ste 5A
Brick, NJ 08723-6275 - City
- Brick
- State
- NJ
- Zip
- 08723-6275
License Information
- Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Functional Wellness Supply LLC?
The NPI number of Functional Wellness Supply LLC is 1861017709. It was assigned on June 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Functional Wellness Supply LLC?
Functional Wellness Supply LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).
Where does Functional Wellness Supply LLC practice?
The practice location is 136 Drum Point RD Ste 5A, Brick, NJ 08723-6275. The office can be reached at 732-299-2793 (phone).
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 1861017709 directly on the NPPES registry website.