Organization Active NPI

Nexora Dynamics LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1730017005
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEXORA DYNAMICS LLC
Practice address
639 W Wellington Ave Unit 11
Chicago, IL 60657-5397
Phone
(201) 971-0016
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Alexander Matthew Phy
Title
Owner
Phone
(201) 971-0016

Specialties & licenses 1

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

Addresses

Primary practice location

639 W Wellington Ave Unit 11
Chicago, IL 60657-5397

Mailing address

639 W Wellington Ave Unit 11
Chicago, IL 60657-5397
Phone (201) 971-0016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1730017005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W WELLINGTON AVE UNIT 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575397",
            "telephone_number": "201-971-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W WELLINGTON AVE UNIT 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575397",
            "telephone_number": "201-971-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXORA DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PHY",
        "authorized_official_first_name": "ALEXANDER MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-971-0016"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.