Provider Demographics
NPI:1982450409
Name:RYDOR MEDICAL BILLING
Entity Type:Organization
Organization Name:RYDOR MEDICAL BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORENE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-508-8047
Mailing Address - Street 1:188 JEFFERSON ST STE 464
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1622
Mailing Address - Country:US
Mailing Address - Phone:973-508-8047
Mailing Address - Fax:973-344-0919
Practice Address - Street 1:296 E KINNEY ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-5963
Practice Address - Country:US
Practice Address - Phone:973-508-8047
Practice Address - Fax:973-344-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment