Provider Demographics
NPI:1518158864
Name:ALLSTATE MEDICAL SUPPLIES,LLC
Entity Type:Organization
Organization Name:ALLSTATE MEDICAL SUPPLIES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:SANGIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-929-2711
Mailing Address - Street 1:625 S END AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4842
Mailing Address - Country:US
Mailing Address - Phone:732-929-2711
Mailing Address - Fax:732-506-9555
Practice Address - Street 1:1013 ROUTE 70
Practice Address - Street 2:UNIT 6
Practice Address - City:MANCHESTER
Practice Address - State:NJ
Practice Address - Zip Code:08759-5804
Practice Address - Country:US
Practice Address - Phone:732-929-2711
Practice Address - Fax:732-506-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6020630001Medicare NSC