Healthcare Provider Details

I. General information

NPI: 1265348429
Provider Name (Legal Business Name): NEXAMEDIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E LOUCKS ST
SHERIDAN WY
82801-6339
US

IV. Provider business mailing address

2929 LIBERTY WAY
MCKEESPORT PA
15133-2717
US

V. Phone/Fax

Practice location:
  • Phone: 201-263-1771
  • Fax:
Mailing address:
  • Phone: 201-263-1771
  • 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: CECEILIA GALLO
Title or Position: SOLE MBR
Credential:
Phone: 201-263-1771