Healthcare Provider Details

I. General information

NPI: 1457272056
Provider Name (Legal Business Name): DIACON DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 MERCHANT ST STE 212
NEWARK NJ
07105-2831
US

IV. Provider business mailing address

43 MERCHANT ST STE 212
NEWARK NJ
07105-2831
US

V. Phone/Fax

Practice location:
  • Phone: 517-615-1979
  • Fax:
Mailing address:
  • Phone: 517-615-1979
  • 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: ABRAR ULLAH BAIG
Title or Position: OWNER
Credential:
Phone: 517-615-1979