OrganizationActive
Functional Wellness Supply LLC
NPI 1861017709 · Durable Medical Equipment & Medical Supplies · Brick, NJ
Provider details
- NPI number
- 1861017709
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Gerlando Lotempio, Manager(732) 299-2793
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
136 Drum Point Rd Ste 5a
Brick, NJ 08723-6275
Phone: (732) 299-2793
Street-level locationGet directions
Mailing address
136 Drum Point Rd Ste 5a
Brick, NJ 08723-6275
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2020-06-16
- Certified
- 2020-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.