Provider Demographics
NPI:1851472831
Name:JML MEDICAL INC
Entity Type:Organization
Organization Name:JML MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-901-1600
Mailing Address - Street 1:501 PROSPECT ST
Mailing Address - Street 2:UNIT 98
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5071
Mailing Address - Country:US
Mailing Address - Phone:732-901-1600
Mailing Address - Fax:732-901-1679
Practice Address - Street 1:501 PROSPECT ST
Practice Address - Street 2:UNIT 98
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5071
Practice Address - Country:US
Practice Address - Phone:732-901-1600
Practice Address - Fax:732-901-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8437505Medicaid
NJ8437505Medicaid