Organization Active NPI

Zyn Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Davenport, IA
National Provider Identifier
1235959131
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ZYN MEDICAL SUPPLY LLC
Doing business as
Zyn medical supply LLC
Practice address
4620 E 53Rd St Ste 200
Davenport, IA 52807-3627
Phone
(815) 505-5884
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Tasneem Khan
Title
President
Phone
(815) 505-5884

Specialties & licenses 1

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

Addresses

Primary practice location

4620 E 53Rd St Ste 200
Davenport, IA 52807-3627

Mailing address

4620 E 53Rd St Ste 200
Davenport, IA 52807-3627

Other names 1

  • Zyn medical supply LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1235959131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 E 53RD ST STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E 53RD ST STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073627",
            "telephone_number": "815-505-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYN MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-505-5884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zyn medical supply LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.