Provider Demographics
NPI:1184163321
Name:ARES MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:ARES MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLADKOVITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-697-2026
Mailing Address - Street 1:177 N DEAN STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-227-2737
Mailing Address - Fax:201-775-0022
Practice Address - Street 1:177 N DEAN STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-227-2737
Practice Address - Fax:201-775-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies