MEDICARE: SONMED DME COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1386358075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONMED DME COMPANY

Provider Business Mailing Address
First Line	:	417 FARNHAM AVE
Second Line	:
City	:	LODI
State	:	NJ
Zip	:	07644-1204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 WESSINGTON AVE STE 3
Second Line	:
City	:	GARFIELD
State	:	NJ
Zip	:	07026-2727
Country	:	US
Telephone Number	:	973-546-3000
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	VIVIAN VEGA
Credential	:
Telephone Number	:	862-247-5015

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	01/09/2023

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Directions to “SONMED DME COMPANY ” Practice Location

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