Healthcare Provider Details

I. General information

NPI: 1528853215
Provider Name (Legal Business Name): BLUESTONE DME SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 DITMAS AVE STE B
BROOKLYN NY
11218-5206
US

IV. Provider business mailing address

930 DITMAS AVE STE B
BROOKLYN NY
11218-5206
US

V. Phone/Fax

Practice location:
  • Phone: 929-563-2826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABDULLHA AKHTER
Title or Position: OWNER
Credential:
Phone: 929-563-2826