Healthcare Provider Details

I. General information

NPI: 1265523625
Provider Name (Legal Business Name): ACCLAIMED HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 05/02/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 SWARTHMORE AVE STE 3
LAKEWOOD NJ
08701-4554
US

IV. Provider business mailing address

1985 SWARTHMORE AVE STE 3
LAKEWOOD NJ
08701-4554
US

V. Phone/Fax

Practice location:
  • Phone: 732-886-6559
  • Fax: 732-364-3221
Mailing address:
  • Phone: 732-886-6559
  • Fax: 732-364-3221

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RAPHAEL STAHL
Title or Position: PRESIDENT
Credential:
Phone: 732-886-6559