Organization
JERSEY CITY MEDICAL SUPPLIES, INC
Active
Other names
Jersey Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC T SANTIAGO (PRESIDENT)
(201) 217-9950
Entity
Organization
Contact information
Practice address
418 BALDWIN AVE STE 2, JERSEY CITY, NJ 07306-1675
(201) 217-9950
(201) 217-9952
Mailing address
418 BALDWIN AVE STE 2, JERSEY CITY, NJ 07306-1675
(201) 217-9950
(201) 217-9952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
45PD00000800
NJ
335E00000X
Prosthetic/Orthotic Supplier
45PO00012000
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8565601
—
NJ
Enumeration date
03/24/2006
Last updated
03/15/2018
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