SUPREME ORTHO FITTING, LLC (NPI# 1770127540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770127540 |
| Entity Type | Organization |
| Organization Name | SUPREME ORTHO FITTING, LLC |
| Practice Address |
79 Washington St Bloomfield NJ 07003-2414 |
| Mailing Address |
501 Bloomfield Ave Caldwell NJ 07006-5427 |
| Practice Telephone | 9738852974 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | SAMUEL ELIAS (CEO) |
| Authorized Official Telephone | 9738852974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
79 WASHINGTON ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| 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 |
|---|---|---|---|---|
| 1053896399 | Wells Bros. Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 208 E Franklin St, Bloomfield, IA 52537-1685 | 2018-10-02 |
| 1932612173 | Famous Motion Enterprises LLC | Durable Medical Equipment & Medical Supplies | 4360 Prestwick Ln, Bloomfield, MI 48301-1511 | 2017-11-09 |
| 1215333968 | Eyeglass Corner, LLC | Durable Medical Equipment & Medical Supplies | 199 Broad St Ste 2b, Bloomfield, NJ 07003-2635 | 2014-11-07 |
| 1801177332 | Precise Medical Care Services | Durable Medical Equipment & Medical Supplies | 610 Bloomfield Ave, Bloomfield, NJ 07003-2553 | 2011-08-29 |
| 1225320419 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 106 Smith St, Bloomfield, IA 52537-2140 | 2011-05-06 |
| 1033277397 | American Ramp Systems | Durable Medical Equipment & Medical Supplies | 162 Newark Ave, Bloomfield, NJ 07003-4908 | 2006-12-05 |
| 1467535708 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 331 Broad St, Bloomfield, NJ 07003-2736 | 2006-10-23 |
| 1932296753 | Med-stat Healthcare Inc | Durable Medical Equipment & Medical Supplies | 150 Orange St, Bloomfield, NJ 07003-4704 | 2006-10-05 |
| 1750473351 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 250 Glenwood Ave, Bloomfield, NJ 07003-2352 | 2006-09-29 |
| 1437258704 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 835 Park Avenue, Bloomfield, CT 06002-2469 | 2006-09-22 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on SUPREME ORTHO FITTING, LLC.
| 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.