MEDICARE: WATERSHED MEDICAL EQUIPMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275425951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATERSHED MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	1230 PARKWAY AVE STE 304B
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-3018
Country	:	US
Telephone Number	:	609-337-2737
Fax Number	:	609-775-9266

Provider Business Practice Location Address
First Line	:	1230 PARKWAY AVE STE 304B
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-3018
Country	:	US
Telephone Number	:	609-337-2737
Fax Number	:	609-775-9266

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	ERIC REED
Credential	:
Telephone Number	:	215-499-9863

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	05/07/2026

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