Healthcare Provider Details

I. General information

NPI: 1598189888
Provider Name (Legal Business Name): KABAFUSION NY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 09/02/2025
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 JUPITER LN STE 6
ALBANY NY
12205-6918
US

IV. Provider business mailing address

17777 CENTER COURT DR N STE 500
CERRITOS CA
90703-9339
US

V. Phone/Fax

Practice location:
  • Phone: 800-238-2247
  • Fax: 518-862-1400
Mailing address:
  • Phone: 800-435-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. SOHAIL MASOOD
Title or Position: PRESIDENT
Credential: PHARM. D.
Phone: 800-435-3020