Provider Demographics
NPI:1538969522
Name:RV MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:RV MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:UMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-713-2581
Mailing Address - Street 1:340 PALISADE AVE APT 1F
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1725
Mailing Address - Country:US
Mailing Address - Phone:929-713-2581
Mailing Address - Fax:
Practice Address - Street 1:340 PALISADE AVE APT 1F
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-1725
Practice Address - Country:US
Practice Address - Phone:192-971-3258
Practice Address - Fax:192-971-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies