Organization
ATHOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERGUSON (EXECUTIVE DIRECTOR)
(973) 401-6788
Entity
Organization
Contact information
Practice address
315 PHILLIPS AVE, SOUTH HACKENSACK, NJ 07606-1707
(973) 538-0483
(973) 538-2703
Mailing address
200 AMERICAN RD, MORRIS PLAINS, NJ 07950-2449
(973) 538-0485
(973) 538-2703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3249409
—
NJ
Enumeration date
05/24/2006
Last updated
05/08/2026
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