LEON STOTTER HEALTHCARE SERVICES (NPI# 1144301359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144301359 |
| Entity Type | Organization |
| Organization Name | LEON STOTTER HEALTHCARE SERVICES |
| Practice Address |
65 Manheim Ave Bridgeton NJ 08302-2114 |
| Practice Telephone | 8564556060 |
| Practice Fax Number | 8564556172 |
| Mailing Telephone | 8564556060 |
| Mailing Fax Number | 8564556172 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIK DELBUONO (VICE PRESIDENT) |
| Authorized Official Telephone | 8564550491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2564602 | 05 |
| Street Address |
65 MANHEIM AVE |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| 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 |
|---|---|---|---|---|
| 1326558743 | Dan O Asewe | Durable Medical Equipment & Medical Supplies | 12106 Natural Bridge Rd Apt D, Bridgeton, MO 63044-2075 | 2017-10-11 |
| 1528491677 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12380 Saint Charles Rock Rd, Bridgeton, MO 63044-2504 | 2013-08-13 |
| 1255513784 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 12777 De Paul Drive, Suite 305, Bridgeton, MO 63044 | 2007-11-27 |
| 1760539076 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 3430 J Mckelvey Rd, Ste M, Bridgeton, MO 63044-2556 | 2007-01-05 |
| 1467551671 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1070 North Pearl Street, Bridgeton, NJ 08302-1215 | 2006-09-22 |
| 1740399161 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 52 East Broad Street, Bridgeton, NJ 08302-2831 | 2006-08-30 |
| 1346257359 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11404 Saint Charles Rock Rd, Bridgeton, MO 63044-2723 | 2006-08-02 |
| 1477568624 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12345 Saint Charles Rock Rd, Bridgeton, MO 63044-2505 | 2006-07-29 |
| 1619994753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1130 Highway 77, Bridgeton, NJ 08302-5988 | 2006-07-16 |
| 1497772743 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 11900 Saint Charles Rock Rd, Bridgeton, MO 63044-2612 | 2006-07-16 |
| Find all providers in BRIDGETON | ||||
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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.