Provider Demographics
NPI:1518987726
Name:SONMED HOMECARE, LLC
Entity Type:Organization
Organization Name:SONMED HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:SEETAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-473-0080
Mailing Address - Street 1:58 60 RIDGEFIELD AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660
Mailing Address - Country:US
Mailing Address - Phone:201-473-0080
Mailing Address - Fax:201-473-0081
Practice Address - Street 1:58 60 RIDGEFIELD AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660
Practice Address - Country:US
Practice Address - Phone:201-473-0080
Practice Address - Fax:201-473-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
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
NJ102273OtherDME
NJ01000439400OtherDME
NJ8705101Medicaid
NJ4246140001Medicare NSC