Provider Demographics
NPI:1750768552
Name:ROYAL AQUARIUS EMPIRE
Entity type:Organization
Organization Name:ROYAL AQUARIUS EMPIRE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-847-3322
Mailing Address - Street 1:287 CHEESEQUAKE RD
Mailing Address - Street 2:BLDG 1B, SUITE # 6807
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:287 CHEESEQUAKE ROAD
Practice Address - Street 2:BLDG 1B, SUITE # 6807
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859
Practice Address - Country:US
Practice Address - Phone:855-258-8785
Practice Address - Fax:877-395-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No302F00000XManaged Care OrganizationsExclusive Provider Organization