Healthcare Provider Details

I. General information

NPI: 1457288326
Provider Name (Legal Business Name): PLATINUMCARE DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 MONTAUK HWY
SHIRLEY NY
11967-2111
US

IV. Provider business mailing address

943 MONTAUK HWY
SHIRLEY NY
11967-2111
US

V. Phone/Fax

Practice location:
  • Phone: 978-227-7910
  • Fax:
Mailing address:
  • Phone: 978-227-7910
  • 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: OMAIDULLAH NOORI
Title or Position: OWNER
Credential:
Phone: 978-227-7910