Healthcare Provider Details

I. General information

NPI: 1831006311
Provider Name (Legal Business Name): PRIME DME BILLING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2067 NEREID AVE APT 2R
BRONX NY
10466-1124
US

IV. Provider business mailing address

2067 NEREID AVE APT 2R
BRONX NY
10466-1124
US

V. Phone/Fax

Practice location:
  • Phone: 929-645-5952
  • Fax: 570-630-8502
Mailing address:
  • Phone: 929-645-5952
  • Fax: 570-630-8502

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: BUSHRA NAWAZ
Title or Position: CEO
Credential:
Phone: 929-645-5952