Healthcare Provider Details
I. General information
NPI: 1164355863
Provider Name (Legal Business Name): NEXUS DME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 E MERRICK RD STE 202
FREEPORT NY
11520-4004
US
IV. Provider business mailing address
9 E MERRICK RD STE 202
FREEPORT NY
11520-4004
US
V. Phone/Fax
- Phone: 315-202-9404
- Fax:
- Phone: 315-202-9404
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ABDUL
MOIZ
Title or Position: MANAGER
Credential:
Phone: 315-202-9404