Healthcare Provider Details

I. General information

NPI: 1376934216
Provider Name (Legal Business Name): NEWTEC MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 ROUTE 166
TOMS RIVER NJ
08753-6679
US

IV. Provider business mailing address

954 ROUTE 166
TOMS RIVER NJ
08753-6679
US

V. Phone/Fax

Practice location:
  • Phone: 732-228-4002
  • Fax: 732-608-8428
Mailing address:
  • Phone: 732-228-4002
  • Fax: 732-608-8428

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: MR. MARC GORDON
Title or Position: OWNER
Credential: CRT
Phone: 732-228-4002