Provider Demographics
NPI:1235255548
Name:RESPIRATORY MED LLC
Entity Type:Organization
Organization Name:RESPIRATORY MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALWINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-687-8600
Mailing Address - Street 1:402 JAY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2235
Mailing Address - Country:US
Mailing Address - Phone:201-687-8600
Mailing Address - Fax:201-465-0341
Practice Address - Street 1:25-15 FAIR LAWN AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3434
Practice Address - Country:US
Practice Address - Phone:201-687-8600
Practice Address - Fax:201-465-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07099400174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8720304Medicaid
P3746638OtherOXFORD
NJ7341285OtherAETNA
NJ8720304Medicaid