Healthcare Provider Details

I. General information

NPI: 1417816737
Provider Name (Legal Business Name): BENJAMIN'S DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989 ALLERTON AVE
BRONX NY
10469-4336
US

IV. Provider business mailing address

989 ALLERTON AVE
BRONX NY
10469-4336
US

V. Phone/Fax

Practice location:
  • Phone: 516-398-8183
  • Fax: 718-405-9112
Mailing address:
  • Phone: 516-398-8183
  • Fax: 718-405-9112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: BENIAMIN YUNUS
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 516-398-8183