Provider Demographics
NPI:1033895586
Name:JS MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:JS MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:TREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-301-8927
Mailing Address - Street 1:788 SHREWSBURY AVE STE 2212
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3080
Mailing Address - Country:US
Mailing Address - Phone:848-800-8652
Mailing Address - Fax:848-800-8652
Practice Address - Street 1:788 SHREWSBURY AVE STE 2212
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3080
Practice Address - Country:US
Practice Address - Phone:848-800-8652
Practice Address - Fax:848-800-8652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies