Healthcare Provider Details

I. General information

NPI: 1295662120
Provider Name (Legal Business Name): CARERISE DME SOLUTION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

78 JOHN MILLER WAY STE 432
KEARNY NJ
07032-6500
US

IV. Provider business mailing address

78 JOHN MILLER WAY STE 432
KEARNY NJ
07032-6500
US

V. Phone/Fax

Practice location:
  • Phone: 929-444-3245
  • Fax:
Mailing address:
  • Phone: 929-444-3245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ENOSH YOUNUS
Title or Position: OWNER
Credential:
Phone: 929-444-3245