Healthcare Provider Details

I. General information

NPI: 1740127422
Provider Name (Legal Business Name): STEPUP MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W 113TH ST
NEW YORK NY
10025-8073
US

IV. Provider business mailing address

2995 MARION AVE
BRONX NY
10458-1743
US

V. Phone/Fax

Practice location:
  • Phone: 917-735-6085
  • Fax:
Mailing address:
  • Phone: 917-735-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SYED MURTUZA ALI QAEM
Title or Position: MANAGER
Credential:
Phone: 917-735-6085