Provider Demographics
NPI:1861421653
Name:AFFILIATED MEDICAL EQUIPMENT CO INC
Entity type:Organization
Organization Name:AFFILIATED MEDICAL EQUIPMENT CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:856-691-5255
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-0490
Mailing Address - Country:US
Mailing Address - Phone:856-696-3500
Mailing Address - Fax:856-696-4922
Practice Address - Street 1:56 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-696-3500
Practice Address - Fax:856-696-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3204600Medicaid
NJ0594820001Medicare ID - Type Unspecified