Provider Demographics
NPI:1093046658
Name:MAXIMUM MEDICAL, LLC
Entity Type:Organization
Organization Name:MAXIMUM MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMPAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-531-8900
Mailing Address - Street 1:19 FRANKLIN PL
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1744
Mailing Address - Country:US
Mailing Address - Phone:201-531-8900
Mailing Address - Fax:201-531-8901
Practice Address - Street 1:19 FRANKLIN PL
Practice Address - Street 2:SUITE 105
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1744
Practice Address - Country:US
Practice Address - Phone:201-531-8900
Practice Address - Fax:201-531-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies