MEDICARE: BESTEVALUE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332G00000X	Eye Bank
2	335G00000X	Medical Foods Supplier
3	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1760828099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESTEVALUE LLC

Provider Business Mailing Address
First Line	:	123 TOWN SQUARE PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-1756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 TOWN SQUARE PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-1756
Country	:	US
Telephone Number	:	646-580-1302
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARSENE CHARLES
Credential	:
Telephone Number	:	646-580-1302

Provider Enumeration Date	:	05/14/2013
Last Update Date	:	05/14/2013

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Directions to “BESTEVALUE LLC ” Practice Location

Language	Start Address	Practice Location

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