Provider Demographics
NPI:1841384740
Name:M D RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:M D RESPIRATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:HOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:201-823-3100
Mailing Address - Street 1:6 W 21ST STREET
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002
Mailing Address - Country:US
Mailing Address - Phone:201-823-3100
Mailing Address - Fax:201-823-8470
Practice Address - Street 1:6 W 21ST STREET
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002
Practice Address - Country:US
Practice Address - Phone:201-823-3100
Practice Address - Fax:201-823-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3077802Medicaid
NJ0175340001Medicare NSC