Healthcare Provider Details

I. General information

NPI: 1063340768
Provider Name (Legal Business Name): SUMMIT SOLUTION DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 VAN WICKLE DR
FRANKLIN PARK NJ
08823-2613
US

IV. Provider business mailing address

1802 VAN WICKLE DR
FRANKLIN PARK NJ
08823-2613
US

V. Phone/Fax

Practice location:
  • Phone: 929-760-1925
  • Fax:
Mailing address:
  • Phone:
  • 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: SALIM R KAKAKHAIL
Title or Position: OWNER
Credential:
Phone: 929-760-1925