Provider Demographics
NPI:1407091739
Name:QUALITY MEDICAL AND SURGICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:QUALITY MEDICAL AND SURGICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-951-3680
Mailing Address - Street 1:130 W PLEASANT AVE
Mailing Address - Street 2:# 162
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1335
Mailing Address - Country:US
Mailing Address - Phone:973-458-1003
Mailing Address - Fax:973-458-1009
Practice Address - Street 1:170 FRANK LN
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4458
Practice Address - Country:US
Practice Address - Phone:201-301-8818
Practice Address - Fax:201-265-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0600304070332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6208020001Medicare NSC