1942470323 NPI number — AMERICAN MED-A CARE SUPPLY INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942470323 NPI number — AMERICAN MED-A CARE SUPPLY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN MED-A CARE SUPPLY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942470323
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2377 HIGHWAY 36
Provider Second Line Business Mailing Address:
STORE 18
Provider Business Mailing Address City Name:
ATLANTIC HIGHLANDS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07716-2532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-415-7521
Provider Business Mailing Address Fax Number:
732-872-2407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2377 HWY 36
Provider Second Line Business Practice Location Address:
STORE 18
Provider Business Practice Location Address City Name:
ATLANTIC HIGHLANDS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07716-2532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-415-7521
Provider Business Practice Location Address Fax Number:
732-872-2400
Provider Enumeration Date:
03/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MURPHY
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
908-415-7521

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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