PRIME MEDICAL SUPPLY LLC (NPI# 1629599964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629599964 |
| Entity Type | Organization |
| Organization Name | PRIME MEDICAL SUPPLY LLC |
| Practice Address |
1875 Route 88 Ste 2 Brick NJ 08724-3533 |
| Practice Telephone | (609) 216-1625 |
| Mailing Telephone | 6092161625 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | MAGDA SOTO (PRESIDENT) |
| Authorized Official Telephone | 7324750213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050005 | Prime Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3960 Broadway Blvd Ste 220l, Garland, TX 75043-8334 | 2019-09-02 |
| Street Address |
1875 ROUTE 88 STE 2 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017709 | Functional Wellness Supply LLC | Durable Medical Equipment & Medical Supplies | 136 Drum Point Rd Ste 5a, Brick, NJ 08723-6275 | 2020-06-16 |
| 1639632789 | Essential Medical Equipment | Durable Medical Equipment & Medical Supplies | 214 Brick Blvd, Brick, NJ 08723-7181 | 2019-04-06 |
| 1215388434 | L and B Medical Solutions | Durable Medical Equipment & Medical Supplies | 38 Fairview Ave, Brick, NJ 08724-4368 | 2016-06-29 |
| 1629439344 | A Better Way Healthcare Corp | Durable Medical Equipment & Medical Supplies | 20 Wayside Dr, Brick, NJ 08724-4344 | 2016-03-08 |
| 1639537293 | Adhipati | Durable Medical Equipment & Medical Supplies | 1659 Route 88 Ste C, Brick, NJ 08724-3011 | 2016-02-10 |
| 1093123655 | Align Back Belt Company | Durable Medical Equipment & Medical Supplies | 1875 Route 88 E, Suite 2, Brick, NJ 08724-3533 | 2014-07-28 |
| 1467701185 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2545 Hooper Ave, Brick, NJ 08723-6238 | 2012-09-10 |
| 1700106630 | Meridian Home Care Services Inc. | Durable Medical Equipment & Medical Supplies | 1759 Route 88 Ste 100a, Laurelton Plaza, Brick, NJ 08724-3016 | 2010-06-02 |
| 1003096850 | Dr Maureen B Jennings | Durable Medical Equipment & Medical Supplies | 1451 Highway 88, Suite 8a, Brick, NJ 08724-2371 | 2007-11-09 |
| 1235290354 | L&b Surgical Inc | Durable Medical Equipment & Medical Supplies | 1889 Route 88, Suite B, Brick, NJ 08724-3560 | 2006-12-12 |
| Find all providers in BRICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.