Healwell DME LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEALWELL DME LLC

Practice address

69 W Palisade Ave # 2B
Englewood, NJ 07631-2611

Phone

(551) 302-0310

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Venkata Lakshmi Siva Prasad Edumudi

Title

President

Phone

(551) 302-0310

Specialties & licenses 1

Addresses

Tax ID family

Healwell DME LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healwell DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Englewood, NJ
  • NPI 1275418378
  NPD tax ID

Locations

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1184508707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 W PALISADE AVE # 2B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312611",
            "telephone_number": "551-302-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 W PALISADE AVE # 2B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312611",
            "telephone_number": "551-302-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALWELL DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "EDUMUDI",
        "authorized_official_first_name": "VENKATA LAKSHMI SIVA PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "551-302-0310"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Head & Neck Surgical Associates, PA
• Health East Medical Alliance LLC
• Health East Medical Group PC
• Health East Medical Services
• Health Resources of Englewood LLC
• Healwell DME LLC
• Christine Healy, D.O.
• Latrice Hebron, MSPT
• Kayla Marie Hemming, LAC
• Douglas Henick, DMD

• Clinical Medical Laboratory in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.