Healthcare Provider Details

I. General information

NPI: 1104959162
Provider Name (Legal Business Name): CAREMEDIX ATR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 FOREST AVE
STATEN ISLAND NY
10301-2638
US

IV. Provider business mailing address

421 VAN BRUNT ST
BROOKLYN NY
11231-1048
US

V. Phone/Fax

Practice location:
  • Phone: 718-698-6000
  • Fax: 718-447-8506
Mailing address:
  • Phone: 718-802-1085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD RUBIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 718-802-1085