Provider Demographics
NPI:1952304008
Name:WILPAGE INC.
Entity Type:Organization
Organization Name:WILPAGE INC.
Other - Org Name:WILPAGE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRUZZO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-835-4716
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07507-0037
Mailing Address - Country:US
Mailing Address - Phone:973-423-4100
Mailing Address - Fax:973-423-0715
Practice Address - Street 1:146 GENEVIEVE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2332
Practice Address - Country:US
Practice Address - Phone:973-423-4100
Practice Address - Fax:973-423-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0093831Medicaid
NJ0442660002Medicare ID - Type UnspecifiedPROVIDER NUMBER