Marina DME Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARINA DME SUPPLY LLC

Practice address

104 Twin Oaks Blvd Ste 110a
Kemah, TX 77565-2187

Phone

(567) 485-3830

NPI assigned

Mar 19, 2025

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajaz Ahmed Syed

Title

Owner

Phone

(567) 485-3830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1447051271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TWIN OAKS BLVD STE 110A",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775652187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TWIN OAKS BLVD STE 110A",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775652187",
            "telephone_number": "567-485-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA DME SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "AJAZ AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-485-3830"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Kemah, TX
• Providers in Kemah, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.