Healthcare Provider Details

I. General information

NPI: 1346584778
Provider Name (Legal Business Name): ALLIED RESPIRATORY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W RIDGEWOOD AVE
RIDGEWOOD NJ
07450-3162
US

IV. Provider business mailing address

329 CANTRELL RD
RIDGEWOOD NJ
07450-4026
US

V. Phone/Fax

Practice location:
  • Phone: 551-574-2873
  • Fax: 201-839-3313
Mailing address:
  • Phone: 201-213-7183
  • Fax: 201-839-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS D CHINNICI
Title or Position: CEO
Credential: RRT
Phone: 201-213-7183