Organization
PROMEDICAL EQUIPMENT SUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTUS K EJERE (DIRECTOR/CEO)
(973) 374-4400
Entity
Organization
Contact information
Practice address
1064 CLINTON AVE, SUITE 130, IRVINGTON, NJ 07111-3549
(973) 374-4400
(973) 374-7400
Mailing address
1064 CLINTON AVE, SUITE 130, IRVINGTON, NJ 07111-3549
(973) 374-4400
(973) 374-7400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031143
—
NJ
Enumeration date
08/07/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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