Provider Demographics
NPI:1326057837
Name:PROMPTCARE NEW ENGLAND RESPIRATORY, LLC
Entity Type:Organization
Organization Name:PROMPTCARE NEW ENGLAND RESPIRATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REIMBURSEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-692-2745
Mailing Address - Street 1:41 SPRING ST STE 103A
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-1143
Mailing Address - Country:US
Mailing Address - Phone:732-692-2720
Mailing Address - Fax:732-381-4521
Practice Address - Street 1:101 N PLAINS INDUSTRIAL RD, BLDG 2
Practice Address - Street 2:SUITE A
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2360
Practice Address - Country:US
Practice Address - Phone:860-633-9330
Practice Address - Fax:860-633-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CTCSW.0001887332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004266476Medicaid
5735960001Medicare NSC