MEDICARE: JAYCEE 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	:	1861280836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYCEE DME LLC

Provider Business Mailing Address
First Line	:	1562 E 98TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-5514
Country	:	US
Telephone Number	:	917-865-6258
Fax Number	:	917-865-6258

Provider Business Practice Location Address
First Line	:	1562 E 98TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-5514
Country	:	US
Telephone Number	:	917-865-6258
Fax Number	:	917-865-6258

Authorized Official
Title or Position	:	OWNER
Name	:	JONATHAN CUMBERBATCH
Credential	:	MR.
Telephone Number	:	917-865-6258

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	05/14/2025

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