Provider Demographics
NPI:1255466124
Name:MONMOUTH EQUIPMENT & SERVICE CO. INC.
Entity Type:Organization
Organization Name:MONMOUTH EQUIPMENT & SERVICE CO. INC.
Other - Org Name:GARDEN STATE SCOOTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-919-1444
Mailing Address - Street 1:5105 STATE ROUTE 33 # 34
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-4003
Mailing Address - Country:US
Mailing Address - Phone:732-919-1444
Mailing Address - Fax:732-919-0256
Practice Address - Street 1:5105 STATE ROUTE 33 # 34
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07727-4003
Practice Address - Country:US
Practice Address - Phone:732-919-1444
Practice Address - Fax:732-919-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0024805Medicaid
NJ0024805Medicaid