Provider Demographics
NPI:1447211636
Name:DIABEST, INC
Entity Type:Organization
Organization Name:DIABEST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:POLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, CFOM
Authorized Official - Phone:732-293-0002
Mailing Address - Street 1:P.O. BOX 1275
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08862-1275
Mailing Address - Country:US
Mailing Address - Phone:732-293-0002
Mailing Address - Fax:732-293-0003
Practice Address - Street 1:143-B SMITH SR.
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861
Practice Address - Country:US
Practice Address - Phone:732-293-0002
Practice Address - Fax:732-293-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0109517Medicaid
NY02656820Medicaid
NJ042684Medicaid
PA1012224360001Medicaid
NJ0066702Medicaid
NY02656820Medicaid