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I.D.M. MEDICAL SUPPLY CO
NPI 1467610600
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Wyckoff, NJ

Active since May 23, 2008
620 BRAEN AVE, WYCKOFF, NJ 07481(201) 445-8500(201) 445-2274 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About I.d.m. Medical Supply Co NPPES

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

I.D.M. MEDICAL SUPPLY CO (NPI 1467610600) is a healthcare organization registered as an oxygen equipment & supplies in Wyckoff, New Jersey and active in the NPI registry since May 2008. The organization lists Robert Gonnello, General Manager, as its authorized official.

NPPES Registry Identity

NPI1467610600
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameI.D.M. MEDICAL SUPPLY CO
Location Address620 BRAEN AVEWyckoff, NJ 07481-2914
Mailing Address620 Braen AveWyckoff, NJ 07481-2914 · (201) 445-8500 · Fax (201) 445-2274
Phone(201) 445-8500
Fax(201) 445-2274
Organization SubpartNo
Authorized OfficialRobert GonnelloGeneral Manager · (201) 445-8500
Enumeration DateMay 23, 2008
Last NPPES UpdateJuly 18, 2008
✔ NPI 1467610600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in NJ · 0691822
620 BRAEN AVE, Wyckoff, NJ 07481
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Other Identifiers 1

Medicare NSC0685100001NJ

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 I.D.M. Medical Supply Co's NPI number?

The NPI number for I.D.M. Medical Supply Co is 1467610600. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is I.D.M. Medical Supply Co located?

I.D.M. Medical Supply Co is located at 620 Braen Ave, Wyckoff, NJ 07481. The listed phone number is (201) 445-8500.

What is I.D.M. Medical Supply Co's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for I.D.M. Medical Supply Co was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.