MEDICARE: PENPIXEL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1265375661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENPIXEL LLC

Provider Business Mailing Address
First Line	:	2411 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5427
Country	:	US
Telephone Number	:	908-808-1588
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. DALER RAKHMONOV
Credential	:
Telephone Number	:	908-808-1588

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “PENPIXEL LLC ” Practice Location

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