Provider Demographics
NPI:1225338346
Name:NEWBY/COOMBS,LLC
Entity Type:Organization
Organization Name:NEWBY/COOMBS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-948-3796
Mailing Address - Street 1:21 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:BRANCHVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07826-4217
Mailing Address - Country:US
Mailing Address - Phone:973-948-3796
Mailing Address - Fax:973-948-6477
Practice Address - Street 1:21 UNION TPKE
Practice Address - Street 2:
Practice Address - City:BRANCHVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07826-4217
Practice Address - Country:US
Practice Address - Phone:973-948-3796
Practice Address - Fax:973-948-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO07131600332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies