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

Jack City, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1376002931

Jack City, LLC is a Durable Medical Equipment & Medical Supplies in Watertown, Massachusetts. Works from 6 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Center St
Watertown, MA 02472-4018
Phone: (617) 393-1709
Fax: (617) 754-6420
Show map & directions

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

Additional practice locations (5)

  • 125 Parker Hill Ave, Boston, MA 02120-2847 — (617) 754-5000
  • 125 Parker Hill Ave # 550, Boston, MA 02120-2847 — (617) 602-5707
  • 125 Parker Hill Ave # 4, Boston, MA 02120-2847 — (617) 754-6569
  • 2014 Washington St, Newton, MA 02462-1607 — (617) 243-6000
  • 70 Walnut St, Wellesley, MA 02481-2135 — (774) 517-7555

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1376002931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Codey Gillum — Ceo · (617) 754-5000
NPI enumeratedMarch 13, 2019
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address30 Center St, Watertown, MA 02472-4018

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