Provider Demographics
NPI:1538393111
Name:OXY-MED HOMECARE EQUIPMENT CORP.
Entity type:Organization
Organization Name:OXY-MED HOMECARE EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-486-7110
Mailing Address - Street 1:1249 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1232
Mailing Address - Country:US
Mailing Address - Phone:215-486-7110
Mailing Address - Fax:215-486-7112
Practice Address - Street 1:1249 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1232
Practice Address - Country:US
Practice Address - Phone:215-486-7110
Practice Address - Fax:215-486-7112
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OXY-MED HOMECARE EQUIPMENT CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0426890001Medicare NSC