Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

I.d.m. Medical Supply Co

Organization Oxygen Equipment & Supplies (DME) · NPI 1467610600

I.d.m. Medical Supply Co is an Oxygen Equipment & Supplies (DME) in Wyckoff, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008

Practice location Address checks out

620 Braen Ave
Wyckoff, NJ 07481-2914
Phone: (201) 445-8500
Fax: (201) 445-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence 0691822 (NJ)

Record details

NPI number1467610600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gonnello — General Manager · (201) 445-8500
NPI enumeratedMay 23, 2008
Last updated in NPPESJuly 18, 2008
Mailing address620 Braen Ave, Wyckoff, NJ 07481-2914