Provider Demographics
NPI:1275605511
Name:SMH SURGICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:SMH SURGICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:732-422-1200
Mailing Address - Street 1:3885 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8713
Mailing Address - Country:US
Mailing Address - Phone:732-422-1200
Mailing Address - Fax:732-422-1255
Practice Address - Street 1:3885 ROUTE 27
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-8713
Practice Address - Country:US
Practice Address - Phone:732-422-1200
Practice Address - Fax:732-422-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0107948Medicaid
NJ5565310001Medicare ID - Type Unspecified