Healthcare Provider Details

I. General information

NPI: 1326057837
Provider Name (Legal Business Name): PROMPTCARE NEW ENGLAND RESPIRATORY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N PLAINS INDUSTRIAL RD, BLDG 2 SUITE A
WALLINGFORD CT
06492-2360
US

IV. Provider business mailing address

41 SPRING ST STE 103A
NEW PROVIDENCE NJ
07974-1143
US

V. Phone/Fax

Practice location:
  • Phone: 860-633-9330
  • Fax: 860-633-9390
Mailing address:
  • Phone: 732-692-2720
  • Fax: 732-381-4521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberCSW.0001887
License Number StateCT

VIII. Authorized Official

Name: MRS. DENISE MAY
Title or Position: VP OF REIMBURSEMENT
Credential:
Phone: 732-692-2745