Healthcare Provider Details

I. General information

NPI: 1619814159
Provider Name (Legal Business Name): GARDEN STATE MEDEQUIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 US HIGHWAY 1 STE 3
EDISON NJ
08817-4433
US

IV. Provider business mailing address

485 US HIGHWAY 1 STE 3
EDISON NJ
08817-4433
US

V. Phone/Fax

Practice location:
  • Phone: 646-735-1730
  • Fax:
Mailing address:
  • Phone: 646-735-1730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AYDA AMJAD DURRANI
Title or Position: OWNER
Credential:
Phone: 646-735-1730