Provider Demographics
NPI:1447217294
Name:PARTNERS MED B, LLC
Entity Type:Organization
Organization Name:PARTNERS MED B, LLC
Other - Org Name:ADVANTAGE MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-216-9500
Mailing Address - Street 1:35 JOURNAL SQ
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4007
Mailing Address - Country:US
Mailing Address - Phone:201-433-3314
Mailing Address - Fax:201-433-3666
Practice Address - Street 1:198 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-2111
Practice Address - Country:US
Practice Address - Phone:201-433-3314
Practice Address - Fax:201-433-3666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8551308Medicaid
NJ8551308Medicaid