MEDICARE: JUPITER DME 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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1679422240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUPITER DME LLC

Provider Business Mailing Address
First Line	:	8541 105TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-1128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8541 105TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-1128
Country	:	US
Telephone Number	:	307-289-2158
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAJID MEHMOOD
Credential	:
Telephone Number	:	307-289-2158

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

Similar Medicare Providers

1407251093 — ADAM ZAFAR KHAN PA
Practice Location Address:

8541 105TH ST
RICHMOND HILL, NY
11418-1128

Practice Phone: 718-805-2643
Practice Fax:

1093248908 — DR. HAMEEDA TAYYAB KHAN M.D
Practice Location Address:

105TH ST , 8541
RICHMOND HILL, NY
11418-1128

Practice Phone: 718-805-2643
Practice Fax:

1780625913 — DR. ROBERTO SANDOVAL M.D.
Practice Location Address:

1128 N HILL AVE
PASADENA, CA
91104-3048

Practice Phone: 626-372-3018
Practice Fax:

1639632805 — CARLY FAZIO RD, LDN, CPT
Practice Location Address:

6283 LIBERTY HILL PT
COLORADO SPRINGS, CO
80923-1128

Practice Phone: 954-599-1144
Practice Fax:

1821257841 — GAIL ALEXANDER MD
Practice Location Address:

4511 PARK AVE
RICHMOND, VA
23221-1128

Practice Phone: 214-662-9423
Practice Fax:

1023616117 — VERENDA DEON EVANS LPN
Practice Location Address:

180 BRUSH RD
RICHMOND HTS, OH
44143-1128

Practice Phone: 216-376-2495
Practice Fax:

Directions to “JUPITER DME LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.