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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID O20130513000000 resolves to a single NPI record. Open the full profile for complete detail.

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JI
NPI · 1083774434 · Active
Jgbla INC
Pharmacist · West Hempstead, New York
Active
NPI
1083774434
Enrollment ID
O20130513000000
Taxonomy
183500000X
Type
Part B Supplier - Mass Immunization (roster Biller Only)

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 3328881NY· Issued by NCPDP

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.