Provider Demographics
NPI:1669444634
Name:ARK MEDICAL SUPPLIES ,INC
Entity Type:Organization
Organization Name:ARK MEDICAL SUPPLIES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PLESNARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-222-3057
Mailing Address - Street 1:48 BAMPTON PL
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1637
Mailing Address - Country:US
Mailing Address - Phone:732-222-3057
Mailing Address - Fax:
Practice Address - Street 1:48 BAMPTON PL
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1637
Practice Address - Country:US
Practice Address - Phone:732-222-3057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies