Provider Demographics
NPI:1073686135
Name:ALLCARE MED EQUIP INC
Entity Type:Organization
Organization Name:ALLCARE MED EQUIP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:SANTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-748-8770
Mailing Address - Street 1:77 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:BOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2414
Mailing Address - Country:US
Mailing Address - Phone:973-748-8770
Mailing Address - Fax:973-748-2843
Practice Address - Street 1:77 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:BOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2414
Practice Address - Country:US
Practice Address - Phone:973-748-8770
Practice Address - Fax:973-748-2843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01251909Medicaid
NJ5292409Medicaid
NJ5292409Medicaid