INNOVATIVE SUPPLY GROUP, LLC
INNOVATIVE SUPPLY GROUP, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164756755, based in Lakewood, NJ. It is classified under Parenteral & Enteral Nutrition Supplies (DME).
Getting there
The practice address on file is 585 PROSPECT ST UNIT 304, Lakewood, NJ 08701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1509850 | NJ | Parenteral & Enteral Nutrition Supplies… primary |
This provider holds licence 1509850 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Medical Supply Company
- PAC ID
- 0143420521
- Enrollment ID
- O20100930074905
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Medical Supply Company. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Parenteral & Enteral Nutrition covers
Definition to come... NUCC Health Care Provider Taxonomy, code 332BP3500X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1164756755 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 29, 2009 |
| Last updated | May 20, 2024 |
| Status | Active |
| Practice address |
585 PROSPECT ST UNIT 304 Lakewood, NJ 08701 (732) 363-3001 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 7 | 5 | 6 | 7 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 5 | 5 | 3 | 7 | 1 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.