Healthcare Provider Details

I. General information

NPI: 1093496754
Provider Name (Legal Business Name): QUALITY DME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E 5TH STREET UNIT 1 SUITE 128A
BROOKLYN NY
11218-2496
US

IV. Provider business mailing address

251 E 5TH STREET UNIT 1 SUITE 128A
BROOKLYN NY
11218-2496
US

V. Phone/Fax

Practice location:
  • Phone: 646-974-1189
  • Fax: 646-974-1108
Mailing address:
  • Phone: 646-974-1189
  • Fax: 646-974-1108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: WALDA GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 646-974-1189