Provider Demographics
NPI:1376934216
Name:NEWTEC MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:NEWTEC MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:732-228-4002
Mailing Address - Street 1:954 ROUTE 166
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6679
Mailing Address - Country:US
Mailing Address - Phone:732-228-4002
Mailing Address - Fax:732-608-8428
Practice Address - Street 1:954 ROUTE 166
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6679
Practice Address - Country:US
Practice Address - Phone:732-228-4002
Practice Address - Fax:732-608-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies