Medease

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDEASE

Practice address

15642 Altomare Trace Way
Woodbridge, VA 22193-5779

Phone

(571) 406-9916

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Yamin Khan

Title

Owner

Phone

(571) 406-9916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1063221828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 ALTOMARE TRACE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935779",
            "telephone_number": "571-406-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15642 ALTOMARE TRACE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935779",
            "telephone_number": "571-406-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "YAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-406-9916"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Henry McRae, PSY.D.
• Delionel B Meadows Sr.
• Sylvia Debronger Mebane-Brooks, NP
• Ana Teresa Mebune
• Medco
• Medi Health LLC
• Medical Clinic of Woodbridge Inc
• Medical Company
• Medical Company
• Medihub USA LLC

• Durable Medical Equipment & Medical Supplies in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.