Organization Active NPI

Mednova DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
National Provider Identifier
1285561357
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDNOVA DME LLC
Practice address
10700 Mystic Cir Apt 106
Orlando, FL 32836-6619
Phone
(201) 820-6973
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Ghulam Mujtaba Shareef
Title
Owner
Phone
(201) 820-6973

Specialties & licenses 1

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

Addresses

Primary practice location

10700 Mystic Cir Apt 106
Orlando, FL 32836-6619

Mailing address

10700 Mystic Cir Apt 106
Orlando, FL 32836-6619
Phone (201) 820-6973

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1285561357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MYSTIC CIR APT 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366619",
            "telephone_number": "201-820-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MYSTIC CIR APT 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366619",
            "telephone_number": "201-820-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNOVA DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_middle_name": "MUJTABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-820-6973"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

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