Provider Demographics
NPI:1831660125
Name:CAPITAL MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:CAPITAL MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:CAPITAL MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-400-8787
Mailing Address - Street 1:605 FRANKLIN BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3671
Mailing Address - Country:US
Mailing Address - Phone:732-659-6014
Mailing Address - Fax:732-659-6029
Practice Address - Street 1:605 FRANKLIN BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3671
Practice Address - Country:US
Practice Address - Phone:732-659-6014
Practice Address - Fax:732-659-6029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies