Healthcare Provider Details

I. General information

NPI: 1841108180
Provider Name (Legal Business Name): NOVA STRIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

358 JERICHO TPKE UNIT 1
SYOSSET NY
11791-4544
US

IV. Provider business mailing address

6800 JERICHO TPKE STE 120W
SYOSSET NY
11791-4445
US

V. Phone/Fax

Practice location:
  • Phone: 631-546-5897
  • Fax: 631-546-5897
Mailing address:
  • Phone: 631-546-5897
  • Fax: 631-546-5897

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: MR. SAJEEV KUMAR
Title or Position: MANAGER
Credential:
Phone: 631-546-5897