Healthcare Provider Details

I. General information

NPI: 1548882095
Provider Name (Legal Business Name): DME SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 NEWBRIDGE RD
HICKSVILLE NY
11801-3967
US

IV. Provider business mailing address

132 NEWBRIDGE RD
HICKSVILLE NY
11801-3931
US

V. Phone/Fax

Practice location:
  • Phone: 516-681-3484
  • Fax: 516-681-3406
Mailing address:
  • Phone: 516-681-3484
  • Fax: 516-681-3406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIK SCHAFFER
Title or Position: CP
Credential: ABC
Phone: 516-681-3484