Provider Demographics
NPI:1548443047
Name:EVERYDAY MEDICAL PRODUCTS, LLC
Entity type:Organization
Organization Name:EVERYDAY MEDICAL PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-963-0633
Mailing Address - Street 1:1560 BROADWAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1518
Mailing Address - Country:US
Mailing Address - Phone:800-963-0633
Mailing Address - Fax:800-963-0633
Practice Address - Street 1:1560 BROADWAY
Practice Address - Street 2:SUITE 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1518
Practice Address - Country:US
Practice Address - Phone:800-963-0633
Practice Address - Fax:800-963-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6077770001Medicare NSC