OrganizationActive
I.d.m. Medical Supply Co
NPI 1467610600 · Oxygen Equipment & Supplies (DME) · Wyckoff, NJ
I.d.m. Medical Supply Co is a Oxygen Equipment & Supplies (DME) organization in Wyckoff, NJ (NPI 1467610600).
Provider details
- NPI number
- 1467610600
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Robert Gonnello, General Manager(201) 445-8500
- License
- 0691822 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 Braen Ave
Wyckoff, NJ 07481-2914
Phone: (201) 445-8500
Fax: (201) 445-2274
Approximate (ZIP-level) locationGet directions
Mailing address
620 Braen Ave
Wyckoff, NJ 07481-2914
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-07-18
Frequently asked questions
- What is I.d.m. Medical Supply Co's NPI number?
- I.d.m. Medical Supply Co's National Provider Identifier (NPI) is 1467610600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is I.d.m. Medical Supply Co?
- I.d.m. Medical Supply Co is classified in the NPPES registry as Oxygen Equipment & Supplies (DME) (Suppliers).
- Where is I.d.m. Medical Supply Co located?
- I.d.m. Medical Supply Co's practice location on file with NPPES is 620 Braen Ave, Wyckoff, NJ 07481-2914.
- What is I.d.m. Medical Supply Co's phone number?
- The practice phone number listed in the NPPES registry for I.d.m. Medical Supply Co is (201) 445-8500.
- Who is the authorized official for I.d.m. Medical Supply Co?
- The authorized official listed on I.d.m. Medical Supply Co's NPPES record is Robert Gonnello, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is I.d.m. Medical Supply Co's NPI active?
- Yes — I.d.m. Medical Supply Co's NPI (1467610600) is active in the NPPES registry as of the last update on 2008-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.