Provider Demographics
NPI:1881013381
Name:ABAT MEDICAL
Entity Type:Organization
Organization Name:ABAT MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-830-3535
Mailing Address - Street 1:214 PATERSON AVE
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3123
Mailing Address - Country:US
Mailing Address - Phone:914-830-3535
Mailing Address - Fax:201-473-5820
Practice Address - Street 1:411 HACKENSACK AVE
Practice Address - Street 2:2ND FLOOR SUITE 263
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6328
Practice Address - Country:US
Practice Address - Phone:914-830-3535
Practice Address - Fax:201-473-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-11
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies