{
"Npi": {
"NPI": "1164355863",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEXUS DME INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "626 RXR PLZ FL TOWER6",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNIONDALE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11556-3829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-202-9404",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "ADDRESS: 626 RXR PLAZA, 6TH FLOOR",
"SecondLinePracticeLocationAddress": "SUITE 6",
"PracticeLocationAddressCityName": "UNIONDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11556",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-202-9404",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/04/2026",
"LastUpdateDate": "06/04/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOIZ",
"AuthorizedOfficialFirstName": "ABDUL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "315-202-9404",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}