Healthcare Provider Details

I. General information

NPI: 1376406785
Provider Name (Legal Business Name): YAVER A DURRANI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

53 KNIGHTSBRIDGE RD STE 220
PISCATAWAY NJ
08854-3958
US

IV. Provider business mailing address

730 BAY ST UNIT 1
STATEN ISLAND NY
10304-3830
US

V. Phone/Fax

Practice location:
  • Phone: 646-735-1730
  • Fax:
Mailing address:
  • Phone: 646-735-1730
  • 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:
Title or Position:
Credential:
Phone: