Provider Demographics
NPI:1962568006
Name:MEDICALSUPPLYCOMPANY
Entity type:Organization
Organization Name:MEDICALSUPPLYCOMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-586-6521
Mailing Address - Street 1:864 PARK AVE
Mailing Address - Street 2:SUITE3
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2456
Mailing Address - Country:US
Mailing Address - Phone:866-586-6521
Mailing Address - Fax:
Practice Address - Street 1:864 PARK AVE
Practice Address - Street 2:SUITE3
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2456
Practice Address - Country:US
Practice Address - Phone:866-586-6521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7939400332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies