Healthcare Provider Details

I. General information

NPI: 1033908421
Provider Name (Legal Business Name): VERTEX UNITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 HIGHWAY 18 STE 104A
EAST BRUNSWICK NJ
08816-3722
US

IV. Provider business mailing address

646 HIGHWAY 18 STE 104A
EAST BRUNSWICK NJ
08816-3722
US

V. Phone/Fax

Practice location:
  • Phone: 732-231-4293
  • Fax: 786-432-1366
Mailing address:
  • Phone: 732-231-4293
  • Fax: 786-432-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: IMAAD TAHIR
Title or Position: COO
Credential:
Phone: 732-231-4293