Innovative Supply Group, Llc
Parenteral & Enteral Nutrition
585 Prospect St, Unit 304, Lakewood
New Jersey, 08701-5073
732-363-3001 Innovative Supply Group, Llc is a Parenteral & Enteral Nutrition in Lakewood, New Jersey. It is located at 585 Prospect St, Unit 304, Lakewood and it's customer support contact number is 732-363-3001. The authorized person of Innovative Supply Group, Llc is Mr. Michael Lebovics who is Vice President of this DME and his contact number is 732-363-3001. Active license number of Innovative Supply Group, Llc is 1509850 for Parenteral & Enteral Nutrition in New Jersey. Innovative Supply Group, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Innovative Supply Group, Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Innovative Supply Group, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Supply Group, Llc |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 585 Prospect St, Unit 304, Lakewood,
New Jersey, 08701-5073 |
| Phone: | 732-363-3001 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Lebovics |
| Position: | Vice President |
| Contact Number: | 732-363-3001 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1164756755 |
| NPI Enumeration Date: | 29 Sep, 2009 |
| NPI Last Update On: | 20 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Supply Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | 1509850 | New Jersey | Primary | |
Medicare Enrollment:
Innovative Supply Group, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0143420521 | O20100930074905 | Innovative Supply Group, Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Innovative Supply Group, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Ostomy Supplies | • Surgical Dressings |
| • Tracheostomy Supplies | • Urological Supplies |
| • Enteral Nutrients, Equipment And Supplies | |
Medicare Competitive Bidding Program:
Innovative Supply Group, Llc participates in medicare competitive bidding program for DME suppliers which means Innovative Supply Group, Llc has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
| CBSA ID: |
CBSA Name: | State |
| 14110 | Chester, Lancaster & York Counties, SC | South Carolina |
| 14115 | Cincinnati, OH | Ohio |
| 14120 | Cleveland-Elyria, OH | Ohio |
| 14125 | Covington-Florence-Newport, KY | Kentucky |
| 14130 | Dallas-Fort Worth-Arlington, TX | Texas |
| 14135 | Dearborn, Franklin, Ohio & Union Counties, IN | Indiana |
| 14140 | Kansas City-Overland Park-Ottawa, KS | Kansas |
| 14145 | Kansas City, MO | Missouri |
| 14160 | Pittsburgh, PA | Pennsylvania |
| 14165 | Riverside-San Bernardino-Ontario, CA | California |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 585 Prospect St, Unit 304
Lakewood, New Jersey |
| Zip: | 08701-5073 |
| Phone Number: | 732-363-3001 |
Patients can reach Innovative Supply Group, Llc at
585 Prospect St, Unit 304, Lakewood, New Jersey or can
call on customer care at 732-363-3001.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.