Healthcare Provider Details

I. General information

NPI: 1548179617
Provider Name (Legal Business Name): NEXA MART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 BOSTON POST RD APT 32
WEST HAVEN CT
06516
US

IV. Provider business mailing address

1055 BOSTON POST RD APT 32
WEST HAVEN CT
06516
US

V. Phone/Fax

Practice location:
  • Phone: 832-253-0951
  • Fax:
Mailing address:
  • Phone: 832-253-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ABU ZARYAAN JAVAID
Title or Position: OWNER
Credential:
Phone: 832-253-0951