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NPI 1104427657ActiveOrganization· Supports Brokerage· Forked River, NJ

Supports Brokerage in Forked River, New Jersey, registered in NPPES in November 2020. The authorized official on file is Benjamin Frederick Beideman, MBA, Chief Executive Officer.

Overview

NPI1104427657
StatusActive
Entity typeOrganization
NPI issuedNov 2, 2020
Last updated in NPPESNov 2, 2020
Certified by providerOct 26, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Supports Brokerage Primary251X00000X——
Durable Medical Equipment & Medical Supplies332B00000X——
Durable Medical Equipment & Medical Supplies, Customized Equipment332BC3200X——
Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies332BD1200X——
Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies332BN1400X——
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition332BP3500X——
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies332BX2000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years