Provider Demographics
NPI:1962220400
Name:NEW ERA MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:NEW ERA MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AQEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-671-9973
Mailing Address - Street 1:2295 PARKLAKE DR NE STE 553
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2951
Mailing Address - Country:US
Mailing Address - Phone:800-671-9973
Mailing Address - Fax:800-671-9973
Practice Address - Street 1:2295 PARKLAKE DR NE STE 553
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2951
Practice Address - Country:US
Practice Address - Phone:800-671-9973
Practice Address - Fax:800-671-9973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies