Healthcare Provider Details
I. General information
NPI: 1760317028
Provider Name (Legal Business Name): VELIXO DME
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
249 W JERSEY ST APT 3L
ELIZABETH NJ
07202-1351
US
IV. Provider business mailing address
249 W JERSEY ST APT 3L
ELIZABETH NJ
07202-1351
US
V. Phone/Fax
- Phone: 908-316-1418
- Fax:
- Phone: 908-316-1418
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAMZA
SHAFIQUE
BUTT
Title or Position: DIRECTOR
Credential:
Phone: 908-316-1418