Healthcare Provider Details

I. General information

NPI: 1275521569
Provider Name (Legal Business Name): KCI USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 ATLANTIC ST
HACKENSACK NJ
07601
US

IV. Provider business mailing address

6103 FARINON DR ATTN HCC
SAN ANTONIO TX
78249-3442
US

V. Phone/Fax

Practice location:
  • Phone: 201-343-4652
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier9004505
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer
# 2
Identifier02667307
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: ROSA GOMEZ
Title or Position: VP, MEDICARE ENROLLMENT
Credential:
Phone: 830-292-1612