Provider Demographics
NPI:1447674270
Name:ONE STOP MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:ONE STOP MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PASSAFIUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-221-5505
Mailing Address - Street 1:42 DAVISON AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1366
Mailing Address - Country:US
Mailing Address - Phone:877-741-2007
Mailing Address - Fax:800-966-1241
Practice Address - Street 1:216 PALMER ST.
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202
Practice Address - Country:US
Practice Address - Phone:877-741-2007
Practice Address - Fax:800-966-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1718140332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies