Promedical Equipment Sup Llc

LBN: Promedical Equipment Sup Llc
Promedical Equipment Sup Llc is an health care organization with primary practice located at 1064 Clinton Ave Suite 130, Irvington NJ 07111-3549. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Promedical Equipment Sup Llc can be contacted via phone (973) 374-4400, or through Ejere, Augustus K via phone (973) 374-4400.

Contact Information

Primary practice address
1064 Clinton Ave Suite 130 Irvington NJ 07111-3549
Phone: (973) 374-4400
Fax: (973) 374-7400
Website:
Map and Directions
Authorized official contact:
Name: Ejere, Augustus K
Phone: (973) 374-4400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1932118882
LBN Legal business name Promedical Equipment Sup Llc
DBA Doing business as
Authorized official Ejere, Augustus K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932118882 NPPES
New Jersey MEDICAID 0031143

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