Provider Demographics
NPI:1427085471
Name:RESPATECH
Entity type:Organization
Organization Name:RESPATECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:LASKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-598-8885
Mailing Address - Street 1:760 ROUTE 46
Mailing Address - Street 2:UNIT 17
Mailing Address - City:KENVIL
Mailing Address - State:NJ
Mailing Address - Zip Code:07847-2628
Mailing Address - Country:US
Mailing Address - Phone:973-598-8885
Mailing Address - Fax:973-598-0785
Practice Address - Street 1:760 ROUTE 46
Practice Address - Street 2:UNIT 17
Practice Address - City:KENVIL
Practice Address - State:NJ
Practice Address - Zip Code:07847-2628
Practice Address - Country:US
Practice Address - Phone:973-598-8885
Practice Address - Fax:973-598-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0089176Medicaid
NJ5373750001Medicare ID - Type Unspecified