Healthcare Provider Details

I. General information

NPI: 1871899278
Provider Name (Legal Business Name): ASAP MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 ROCHELLE AVE
ROCHELLE PARK NJ
07662-3914
US

IV. Provider business mailing address

251 ROCHELLE AVE
ROCHELLE PARK NJ
07662-3914
US

V. Phone/Fax

Practice location:
  • Phone: 201-291-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEPHEN CONTE
Title or Position: CEO
Credential:
Phone: 201-291-8800