Healthcare Provider Details

I. General information

NPI: 1295698884
Provider Name (Legal Business Name): PREMIER DME SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 GREEN ST UNIT 1B
WOODBRIDGE NJ
07095
US

IV. Provider business mailing address

374 GREEN ST UNIT 1B
WOODBRIDGE NJ
07095
US

V. Phone/Fax

Practice location:
  • Phone: 974-488-5488
  • Fax:
Mailing address:
  • Phone: 974-488-5488
  • 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: CARMEN RABINOVICH
Title or Position: PRESIDENT
Credential:
Phone: 973-488-5488