Healthcare Provider Details

I. General information

NPI: 1821918582
Provider Name (Legal Business Name): HANUMANA MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CRAIG PL
NORTH PLAINFIELD NJ
07060-5005
US

IV. Provider business mailing address

28 CRAIG PL
NORTH PLAINFIELD NJ
07060-5005
US

V. Phone/Fax

Practice location:
  • Phone: 917-584-7173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. FAROOQ ALI
Title or Position: COO
Credential:
Phone: 917-584-7173