Healthcare Provider Details

I. General information

NPI: 1083543235
Provider Name (Legal Business Name): EXPOCARE DME & MEDICAL BILLING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 BALDWIN AVE
JERSEY CITY NJ
07306-1001
US

IV. Provider business mailing address

455 BALDWIN AVE
JERSEY CITY NJ
07306-1001
US

V. Phone/Fax

Practice location:
  • Phone: 325-625-6012
  • Fax: 325-625-6012
Mailing address:
  • Phone: 325-625-6012
  • Fax: 325-625-6012

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: MR. AYAN YASEEN
Title or Position: OPERATION MANAGER
Credential:
Phone: 325-625-6012