Organization
GALLOPING HILL SURGICAL, LLC
Active
Parent organization
PASSAIC HEALTHCARE SERVICES LLC
Other names
Allcare Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASSAIC HEALTHCARE SERVICES LLC
Authorized official
MR. WINTHROP HAYES (PRESIDENT)
(800) 244-4660
Entity
Organization
Contact information
Practice address
593 NASSAU ST, NORTH BRUNSWICK, NJ 08902-2938
(732) 251-8000
(866) 511-0294
Mailing address
593 NASSAU ST, NORTH BRUNSWICK, NJ 08902-2938
(732) 251-8000
(866) 511-0294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002632000
AMERIHEALTH
NJ
01
—
47462
AMERIGROUP
NJ
01
—
565144
AETNA
NJ
01
—
56744
NORTHWOOD
NJ
05
—
6774903
—
NJ
01
—
MI0000352
AMERICHOICE
NJ
Enumeration date
11/14/2005
Last updated
03/04/2015
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