Provider Demographics
NPI:1801933098
Name:A & G AID INC
Entity type:Organization
Organization Name:A & G AID INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARKADY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIZHNERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:201-398-9220
Mailing Address - Street 1:140B RADBURN RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410
Mailing Address - Country:US
Mailing Address - Phone:201-398-9220
Mailing Address - Fax:201-398-9290
Practice Address - Street 1:140B RADBURN RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410
Practice Address - Country:US
Practice Address - Phone:201-398-9220
Practice Address - Fax:201-398-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0044101332BX2000X
NJ43ZA00439400332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8763208Medicaid
NY02235043OtherMD NY
A2669733OtherOXFORD
A2669733OtherOXFORD