MEDICARE: BLUE SKY MEDICAL SUPPLY

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	:	1770431793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE SKY MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	291 US HIGHWAY 22 STE 9A
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-5066
Country	:	US
Telephone Number	:	732-648-6994
Fax Number	:	732-648-6994

Provider Business Practice Location Address
First Line	:	291 US HIGHWAY 22 STE 9A
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-5066
Country	:	US
Telephone Number	:	732-648-6994
Fax Number	:	732-648-6994

Authorized Official
Title or Position	:	COO
Name	:	MR. DAVID DEPIERRO
Credential	:	DEPIERRO
Telephone Number	:	732-648-6994

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “BLUE SKY MEDICAL SUPPLY ” Practice Location

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