Provider Demographics
NPI:1659509347
Name:NJ MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:NJ MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:BELAL
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-252-6786
Mailing Address - Street 1:201 ROUTE 10 E STE 102
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1370
Mailing Address - Country:US
Mailing Address - Phone:973-252-6786
Mailing Address - Fax:973-457-5886
Practice Address - Street 1:201 ROUTE 10 E STE 102
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1370
Practice Address - Country:US
Practice Address - Phone:973-252-6786
Practice Address - Fax:973-457-5886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies