Provider Demographics
NPI:1508966631
Name:BREATHE RITE MEDICAL AND SURGICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:BREATHE RITE MEDICAL AND SURGICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-394-2770
Mailing Address - Street 1:1285 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-6254
Mailing Address - Country:US
Mailing Address - Phone:609-394-2770
Mailing Address - Fax:609-228-8990
Practice Address - Street 1:1285 SOUTH BROAD STREET
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-6254
Practice Address - Country:US
Practice Address - Phone:609-394-2770
Practice Address - Fax:609-228-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2022-10-19
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
5762370001Medicare NSC