Provider Demographics
NPI:1679631295
Name:J&C MEDICAL SUPPLIES,LLC.
Entity Type:Organization
Organization Name:J&C MEDICAL SUPPLIES,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-652-7554
Mailing Address - Street 1:82 ENGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-2163
Mailing Address - Country:US
Mailing Address - Phone:973-652-7554
Mailing Address - Fax:073-357-4998
Practice Address - Street 1:82 ENGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-2163
Practice Address - Country:US
Practice Address - Phone:973-652-7554
Practice Address - Fax:073-357-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BC3200X332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment