Healthcare Provider Details

I. General information

NPI: 1275441537
Provider Name (Legal Business Name): BLUEPEAK MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4249 COLDEN ST APT 7V
FLUSHING NY
11355-3904
US

IV. Provider business mailing address

8401 MAYLAND DR # 11438
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 929-444-1882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: OWAIS AHMED
Title or Position: CEO
Credential:
Phone: 914-431-5767