Healthcare Provider Details
I. General information
NPI: 1891676706
Provider Name (Legal Business Name): CENTRAL ACCESS REDEVELOPMENT ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
703 MARSHALL PL
PLAINFIELD NJ
07062-2111
US
IV. Provider business mailing address
703 MARSHALL PL
PLAINFIELD NJ
07062-2111
US
V. Phone/Fax
- Phone: 518-334-4161
- Fax:
- Phone: 518-334-4161
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable 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: MR.
LAMONT
CURRY
Title or Position: PRESIDENT
Credential:
Phone: 518-334-4161