Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVATIVE SUPPLY GROUP, LLC
NPI 1164756755
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Lakewood, NJ

Active since September 29, 2009
585 PROSPECT ST, UNIT 304, LAKEWOOD, NJ 08701(732) 363-3001 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Supply Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE SUPPLY GROUP, LLC (NPI 1164756755) is a healthcare organization registered as a parenteral & enteral nutrition in Lakewood, New Jersey and active in the NPI registry since September 2009. The organization lists Michael Lebovics, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164756755
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameINNOVATIVE SUPPLY GROUP, LLC
Location Address585 PROSPECT ST, UNIT 304Lakewood, NJ 08701-5073
Mailing Address585 Prospect St, Unit 304Lakewood, NJ 08701-5073 · (732) 363-3001
Organization SubpartNo
Authorized OfficialMichael LebovicsVice President · (732) 363-3001
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1164756755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code332BP3500X
License Licensed in NJ · 1509850
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
585 PROSPECT ST, Lakewood, NJ 08701

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Innovative Supply Group, LLC carries, from the Medicare DMEPOS supplier directory.

Innovative Supply Group, LLC

DMEPOS supplier · Lakewood, NJ

Does not accept Medicare assignment

Innovative Supply Group, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20547755
Medicare Participant SinceNovember 12, 2009
Supplier Location585 Prospect St Ste 304Lakewood, NJ 08701
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Tracheotomy Supplies
Tracheostomy care kits
Urological Supplies
Catheters, Urinary collection devices
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
585 PROSPECT ST
LAKEWOOD, NJ 08701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Supply Group, LLC's NPI number?

The NPI number for Innovative Supply Group, LLC is 1164756755. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Innovative Supply Group, LLC located?

Innovative Supply Group, LLC is located at 585 Prospect St Unit 304, Lakewood, NJ 08701. The listed phone number is (732) 363-3001.

What is Innovative Supply Group, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

Does Innovative Supply Group, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Innovative Supply Group, LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Innovative Supply Group, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 8 other insurers list Innovative Supply Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Supply Group, LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.