Organization Active NPI

Medzoom Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Roselle, IL
National Provider Identifier
1316639818
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDZOOM MEDICAL SUPPLIES LLC
Practice address
975 E Nerge Rd Ste W30
Roselle, IL 60172-4803
Phone
(800) 815-9359
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ghulam Jeelani Syed
Title
Owner
Phone
(800) 815-9359

Specialties & licenses 1

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

Addresses

Primary practice location

975 E Nerge Rd Ste W30
Roselle, IL 60172-4803

Mailing address

975 E Nerge Rd Ste W30
Roselle, IL 60172-4803
Phone (800) 815-9359

National Provider Directory

National Provider Directory

Locations

975 E Nerge Rd
Ste W30
Roselle, IL 60172
Phone (800) 815-8935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1316639818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD STE W30",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724803",
            "telephone_number": "800-815-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD STE W30",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724803",
            "telephone_number": "800-815-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDZOOM MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "GHULAM JEELANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-815-9359"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.