Healthcare Provider Details

I. General information

NPI: 1609234731
Provider Name (Legal Business Name): N J PLANET MEDICAL & SURGICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 BETHEL RD
SOMERS POINT NJ
08244-2046
US

IV. Provider business mailing address

138 AUGUSTA DR
MOORESTOWN NJ
08057-3982
US

V. Phone/Fax

Practice location:
  • Phone: 844-305-3428
  • Fax: 609-867-6143
Mailing address:
  • Phone: 844-305-3428
  • Fax: 609-867-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: AAMIR SIDDIQUI
Title or Position: OWNER
Credential:
Phone: 844-305-3428