Healthcare Provider Details

I. General information

NPI: 1396610788
Provider Name (Legal Business Name): DEMMAHOME EQUIPMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ROMAINE AVE APT 1
JERSEY CITY NJ
07306-5604
US

IV. Provider business mailing address

18 ROMAINE AVE APT 1
JERSEY CITY NJ
07306-5604
US

V. Phone/Fax

Practice location:
  • Phone: 551-344-7630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FNU MOHAMMED MASOOD
Title or Position: MANAGER
Credential:
Phone: 551-344-7630