NPIMap

Organization Active NPI

Nextgen Health Supplies Inc

  • Clinic/Center
  • Deer Park, NY
National Provider Identifier
1013827740
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEXTGEN HEALTH SUPPLIES INC
Practice address
12 W 18TH St
Deer Park, NY 11729-3906
Phone
(879) 872-4892
Fax
(879) 872-4892
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mumtaz Y Tukdi
Title
President
Phone
(879) 872-4892

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

12 W 18TH St
Deer Park, NY 11729-3906

Mailing address

12 W 18TH St
Deer Park, NY 11729-3906
Phone (879) 872-4892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1013827740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 18TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293906",
            "telephone_number": "879-872-4892",
            "fax_number": "879-872-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 18TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293906",
            "telephone_number": "879-872-4892",
            "fax_number": "879-872-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN HEALTH SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "TUKDI",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "879-872-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.