Organization Active NPI

Dynamic Supplier Consultant Inc

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1033087804
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DYNAMIC SUPPLIER CONSULTANT INC
Practice address
31 Seaton PL
Valley Stream, NY 11580-1117
Phone
(432) 301-9195
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Anjum AzamNPI 1285729699
Title
Ceo
Phone
(432) 301-9195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

31 Seaton PL
Valley Stream, NY 11580-1117

Mailing address

31 Seaton PL
Valley Stream, NY 11580-1117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1033087804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEATON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEATON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801117",
            "telephone_number": "432-301-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SUPPLIER CONSULTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-301-9195"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.