Provider Demographics
NPI:1114065570
Name:QUAISAR ENTERPRISES LLC
Entity Type:Organization
Organization Name:QUAISAR ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAISAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-746-1201
Mailing Address - Street 1:1 HILLVIEW DR W
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4733
Mailing Address - Country:US
Mailing Address - Phone:203-746-1201
Mailing Address - Fax:203-746-1201
Practice Address - Street 1:1 HILLVIEW DR W
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-4733
Practice Address - Country:US
Practice Address - Phone:203-746-1201
Practice Address - Fax:203-746-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4724770001Medicare NSC