MEDICARE: BENJAMIN'S DME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1417816737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENJAMIN'S DME LLC

Provider Business Mailing Address
First Line	:	989 ALLERTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4336
Country	:	US
Telephone Number	:	516-398-8183
Fax Number	:	718-405-9112

Provider Business Practice Location Address
First Line	:	989 ALLERTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4336
Country	:	US
Telephone Number	:	516-398-8183
Fax Number	:	718-405-9112

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	BENIAMIN YUNUS
Credential	:
Telephone Number	:	516-398-8183

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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