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SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC
NPI 1215019757
Durable Medical Equipment & Medical Supplies in Irvington, NJ

Active since October 20, 2006
1230 SPRINGFIELD AVE, IRVINGTON, NJ 07111(973) 399-4009(973) 399-4033 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Medical &surgical Equipment Supply Llc NPPES

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

SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC (NPI 1215019757) is a healthcare organization registered as a durable medical equipment & medical supplies in Irvington, New Jersey and active in the NPI registry since October 2006. The organization lists Charles Idemudia Igiehon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215019757
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC
Location Address1230 SPRINGFIELD AVEIrvington, NJ 07111-1982
Mailing AddressPo Box 6355Newark, NJ 07106-0355 · (973) 399-4009 · Fax (973) 399-4033
Phone(973) 399-4009
Fax(973) 399-4033
Organization SubpartNo
Authorized OfficialCharles Idemudia IgiehonCeo · (973) 399-4009
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215019757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1230 SPRINGFIELD AVE, Irvington, NJ 07111
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Other Providers at the Same Location NPPES

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

UNIQUE MEDICAL STAFFING
Home Health
1230 SPRINGFIELD AVE
IRVINGTON, NJ 07111
Essex County (973) 371-0012

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 Supreme Medical &surgical Equipment Supply LLC's NPI number?

The NPI number for Supreme Medical &surgical Equipment Supply LLC is 1215019757. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Supreme Medical &surgical Equipment Supply LLC located?

Supreme Medical &surgical Equipment Supply LLC is located at 1230 Springfield Ave, Irvington, NJ 07111. The listed phone number is (973) 399-4009.

What is Supreme Medical &surgical Equipment Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Supreme Medical &surgical Equipment Supply LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.