Provider Demographics
NPI:1679541171
Name:BEST MEDICAL SUPPLY AND EQUIPMENT
Entity Type:Organization
Organization Name:BEST MEDICAL SUPPLY AND EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CALLISTO
Authorized Official - Middle Name:
Authorized Official - Last Name:NDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-373-4555
Mailing Address - Street 1:790 CLINTON AVE
Mailing Address - Street 2:STORE 4
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07108-1047
Mailing Address - Country:US
Mailing Address - Phone:973-373-4555
Mailing Address - Fax:973-373-4406
Practice Address - Street 1:790 CLINTON AVE
Practice Address - Street 2:STORE 4
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-1047
Practice Address - Country:US
Practice Address - Phone:973-373-4555
Practice Address - Fax:973-373-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5605220001Medicare NSC