Provider Demographics
NPI:1669472296
Name:GENERAL HEALTH SERVICES
Entity Type:Organization
Organization Name:GENERAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOTHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-356-3736
Mailing Address - Street 1:282 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2305
Mailing Address - Country:US
Mailing Address - Phone:732-356-3736
Mailing Address - Fax:732-356-0945
Practice Address - Street 1:282 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2305
Practice Address - Country:US
Practice Address - Phone:732-356-3736
Practice Address - Fax:732-356-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
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
NJ0048763Medicaid
NJ0048763Medicaid