MEDICARE: EASTERN 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1740112697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERN DME LLC

Provider Business Mailing Address
First Line	:	819 SPRING ST STE 124
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07201-2101
Country	:	US
Telephone Number	:	908-327-7129
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAYWOOD AVE STE 101
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1001
Country	:	US
Telephone Number	:	908-327-7129
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RAMESH YANAGANTI
Credential	:
Telephone Number	:	908-327-7129

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “EASTERN DME LLC ” Practice Location

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