Provider Demographics
NPI:1760985428
Name:UNION CITY MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:UNION CITY MEDICAL SUPPLIES INC.
Other - Org Name:BIO DYNAMIC TECHNOLOGIES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-2276
Mailing Address - Street 1:1 MADISON ST STE A4
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1605
Mailing Address - Country:US
Mailing Address - Phone:800-879-2276
Mailing Address - Fax:800-866-8011
Practice Address - Street 1:4 DEARFIELD DR STE 201A
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5351
Practice Address - Country:US
Practice Address - Phone:800-879-2276
Practice Address - Fax:800-866-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA396067OtherOXFORD
CT008078684Medicaid
NJ45127OtherAETNA