Provider Demographics
NPI:1598824070
Name:JEMM INTERNATIONAL LLC
Entity Type:Organization
Organization Name:JEMM INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EKHLAS
Authorized Official - Middle Name:JAWDAT
Authorized Official - Last Name:SULAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-772-1901
Mailing Address - Street 1:421 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-4035
Mailing Address - Country:US
Mailing Address - Phone:973-772-1901
Mailing Address - Fax:973-772-1902
Practice Address - Street 1:421 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-4035
Practice Address - Country:US
Practice Address - Phone:973-772-1901
Practice Address - Fax:973-772-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0076775Medicaid
NJ5391580001Medicare NSC