Provider Demographics
NPI:1053318667
Name:OXY-MED HOMECARE EQUIPMENT CORP.
Entity Type:Organization
Organization Name:OXY-MED HOMECARE EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHON
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-393-4949
Mailing Address - Street 1:501 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-3935
Mailing Address - Country:US
Mailing Address - Phone:609-393-4949
Mailing Address - Fax:609-393-3009
Practice Address - Street 1:501 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-3935
Practice Address - Country:US
Practice Address - Phone:609-393-4949
Practice Address - Fax:609-393-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0002668000OtherAMERIHEALTH
NJ56733OtherNORTHWOOD NPN
NJ0002668000OtherKEYSTONE HEALTH PLAN EAST
NJ0002668000OtherKEYSTONE 65
PA0002668000OtherKEYSTONE 65
NJ45802OtherAETNA USHC
NJME0000090-00OtherAMERICHOICE
PA0002668000OtherAMERIHEALTH
NJ200011OtherPERSONAL CHOICE BCBS
NJ228782324OtherCONSUMER HEALTH NETWORK
NJ49452OtherAMERIGROUP
PA0002668000OtherKEYSTONE HEALTH PLAN EAST
NJ3315100Medicaid
NJ0002668000OtherKEYSTONE 65