Organization Active NPI

Nova Edge Ny LLC

  • Customized Equipment (DME)
  • Kew Gardens, NY
National Provider Identifier
1205756848
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NOVA EDGE NY LLC
Practice address
8450 127TH St # 11415
Kew Gardens, NY 11415-2825
Phone
(307) 289-2158
NPI assigned
Jul 15, 2026
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Sadam Wakil
Title
Owner
Phone
(307) 289-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

8450 127TH St # 11415
Kew Gardens, NY 11415-2825

Mailing address

8450 127TH St Apt 2FL
Kew Gardens, NY 11415-2825
Phone (307) 289-2158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1205756848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 127TH ST APT 2FL",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152825",
            "telephone_number": "307-289-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 127TH ST # 11415",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152825",
            "telephone_number": "307-289-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EDGE NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "WAKIL",
        "authorized_official_first_name": "SADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-289-2158"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.