Vista Enclave Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VISTA ENCLAVE INC

Practice address

14736 94TH Ave
Jamaica, NY 11435-4527

Phone

(800) 490-5352

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Syed Waleed Ali

Title

Manager

Phone

(800) 490-5352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1467379792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 94TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354527",
            "telephone_number": "800-490-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14736 94TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354527",
            "telephone_number": "800-490-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ENCLAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED WALEED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-490-5352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.