Healthcare Provider Details

I. General information

NPI: 1881013381
Provider Name (Legal Business Name): ABAT MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2014
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 HACKENSACK AVE 2ND FLOOR SUITE 263
HACKENSACK NJ
07601-6328
US

IV. Provider business mailing address

214 PATERSON AVE
LODI NJ
07644-3123
US

V. Phone/Fax

Practice location:
  • Phone: 914-830-3535
  • Fax: 201-473-5820
Mailing address:
  • Phone: 914-830-3535
  • Fax: 201-473-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BARBARA GOMEZ
Title or Position: CEO
Credential:
Phone: 914-830-3535