Provider Demographics
NPI:1407512395
Name:WELLCARE DME INC
Entity type:Organization
Organization Name:WELLCARE DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-850-7699
Mailing Address - Street 1:197 CEDAR LN STE 2
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4300
Mailing Address - Country:US
Mailing Address - Phone:877-800-1219
Mailing Address - Fax:
Practice Address - Street 1:197 CEDAR LN STE 2
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4300
Practice Address - Country:US
Practice Address - Phone:201-500-4050
Practice Address - Fax:877-228-1780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies