Provider Demographics
NPI:1851575484
Name:PROMPTCARE NEW ENGLAND RESPIRATORY, LLC
Entity type:Organization
Organization Name:PROMPTCARE NEW ENGLAND RESPIRATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF REIMBURSMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-692-2745
Mailing Address - Street 1:51 TERMINAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1321
Mailing Address - Country:US
Mailing Address - Phone:732-692-2745
Mailing Address - Fax:732-381-4521
Practice Address - Street 1:960 TURNPIKE ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2824
Practice Address - Country:US
Practice Address - Phone:339-502-8612
Practice Address - Fax:339-502-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MAMA0086721332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5735960004Medicare NSC