Provider Demographics
NPI:1770636433
Name:CHAS MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:CHAS MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-339-3506
Mailing Address - Street 1:1169 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3132
Mailing Address - Country:US
Mailing Address - Phone:201-339-3507
Mailing Address - Fax:201-339-3508
Practice Address - Street 1:1169 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3132
Practice Address - Country:US
Practice Address - Phone:201-339-3507
Practice Address - Fax:201-339-3508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies