MEDICARE: WEST PARK HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477872828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST PARK HEALTH INC.

Provider Business Mailing Address
First Line	:	216 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4807
Country	:	US
Telephone Number	:	732-575-0113
Fax Number	:	732-942-6448

Provider Business Practice Location Address
First Line	:	216 RIVER AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4807
Country	:	US
Telephone Number	:	732-575-0113
Fax Number	:	732-942-6448

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ZISI FRANKEL
Credential	:
Telephone Number	:	732-575-0113

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	02/13/2015

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Directions to “WEST PARK HEALTH INC. ” Practice Location

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