Provider Demographics
NPI:1609234731
Name:N J PLANET MEDICAL & SURGICAL SUPPLY
Entity Type:Organization
Organization Name:N J PLANET MEDICAL & SURGICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-305-3428
Mailing Address - Street 1:138 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3982
Mailing Address - Country:US
Mailing Address - Phone:844-305-3428
Mailing Address - Fax:609-867-6143
Practice Address - Street 1:424 BETHEL RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2046
Practice Address - Country:US
Practice Address - Phone:844-305-3428
Practice Address - Fax:609-867-6143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies