Provider Demographics
NPI:1295935278
Name:JOHNSON'S MEDICAL SUPPLY
Entity type:Organization
Organization Name:JOHNSON'S MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:908-835-2460
Mailing Address - Street 1:163 JACKSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07863-3319
Mailing Address - Country:US
Mailing Address - Phone:908-835-2460
Mailing Address - Fax:908-835-2461
Practice Address - Street 1:163 JACKSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NJ
Practice Address - Zip Code:07863-3319
Practice Address - Country:US
Practice Address - Phone:908-835-2460
Practice Address - Fax:908-835-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA00355700332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies