PREMIER MEDICAL EQUIPMENT, LLC (NPI# 1679942569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679942569 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL EQUIPMENT, LLC |
| Practice Address |
3110 Promenade Blvd Fair Lawn NJ 07410-2777 |
| Mailing Address |
521 Brook Ave River Vale NJ 07675-5700 |
| Practice Telephone | 2015433640 |
| Practice Fax Number | 2017815686 |
| Mailing Telephone | 2015433640 |
| Mailing Fax Number | 2017815686 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | MRS. MARLENE A VANGELAS (OWNER) |
| Authorized Official Telephone | 2018192968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841797628 | Premier Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4709 Kimber Ave, Bakersfield, CA 93307-6813 | 2018-04-09 |
| 1700313822 | Premier Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4790 Haverton Ln, Liverpool, NY 13090-2531 | 2017-05-19 |
| 1083814180 | Premier Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 24445 Northwestern Hwy, Suite 212, Southfield, MI 48075-6501 | 2007-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER MEDICAL EQUIPMENT, LLC | 4790 Haverton Lane, Liverpool, NY 13090-2531 |
| Street Address |
3110 PROMENADE BLVD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619358728 | Estela Blaustein | Pharmacist | 3110 Promenade Blvd, Fair Lawn, NJ 07410-2777 | 2015-06-15 |
| 1649743733 | Hyun Jin Shin | Pharmacist | 3110 Promenade Blvd, Fair Lawn, NJ 07410-2777 | 2019-01-10 |
| 1396126413 | Jiffy Scripts Rx, LLC | Pharmacy | 3110 Promenade Blvd, Fair Lawn, NJ 07410-2777 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083955413 | Plaza Health Center, LLC | Durable Medical Equipment & Medical Supplies | 0099 Plaza Rd, Fair Lawn, NJ 07410-2926 | 2013-03-11 |
| 1548326291 | Garden Pharmacy | Durable Medical Equipment & Medical Supplies | 13-38 River Rd, Fair Lawn, NJ 07410-1813 | 2006-12-28 |
| 1215010848 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24-12 Fair Lawn Ave, Fair Lawn, NJ 07410-3401 | 2006-10-24 |
| 1619069341 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-35 River Rd, Fair Lawn, NJ 07410-1244 | 2006-09-29 |
| 1467559229 | A&p Live Better, LLC | Durable Medical Equipment & Medical Supplies | 22-00 Maple Ave, Fair Lawn, NJ 07410-1526 | 2006-09-20 |
| 1447265426 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 17-77 River Rd, Fair Lawn, NJ 07410 | 2006-07-29 |
| 1689614984 | B & L Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 23-21 Broadway, Fair Lawn, NJ 07410 | 2006-06-07 |
| 1538308796 | Golden Care Plus Inc | Durable Medical Equipment & Medical Supplies | 22-08 Route 208, Fair Lawn, NJ 07410-2605 | 2009-02-11 |
| 1407034150 | Wendy Nach Dpm | Durable Medical Equipment & Medical Supplies | 15-01 Broadway, Fair Lawn, NJ 07410-6003 | 2008-02-05 |
| 1841208709 | Mikhael Ruzhin Ltd | Durable Medical Equipment & Medical Supplies | 26-17 Broadway, Fair Lawn, NJ 07410-3821 | 2006-08-04 |
| Find all providers in FAIR LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.