Organization Active NPI

Neonz Medical Supplies LLC

  • Customized Equipment (DME)
  • Goshen, IN
National Provider Identifier
1699598557
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NEONZ MEDICAL SUPPLIES LLC
Practice address
151 Winchester TRL
Goshen, IN 46526-6164
Phone
(352) 320-3888
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Nida Nazir, OWNER
Title
Ceo
Phone
(352) 320-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

151 Winchester TRL
Goshen, IN 46526-6164

Mailing address

151 Winchester TRL
Goshen, IN 46526-6164
Phone (352) 320-3888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1699598557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WINCHESTER TRL",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266164",
            "telephone_number": "352-320-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WINCHESTER TRL",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266164",
            "telephone_number": "352-320-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONZ MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "NAZIR",
        "authorized_official_first_name": "NIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-320-3888",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.