Healthcare Provider Details

I. General information

NPI: 1932073590
Provider Name (Legal Business Name): NEXT PHASE GLOBAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 OLD WASHINGTON RD STE 214
WALDORF MD
20602-3308
US

IV. Provider business mailing address

2650 STANFORD PL
WALDORF MD
20601-4981
US

V. Phone/Fax

Practice location:
  • Phone: 227-215-2719
  • Fax:
Mailing address:
  • Phone: 240-470-3297
  • 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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SIBTE E HASSAN
Title or Position: DIRECTOR
Credential:
Phone: 227-215-5719