Organization Active NPI

Premier DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Flushing, NY
National Provider Identifier
1770476566
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER DME LLC
Practice address
4332 Kissena Blvd Apt 11T
Flushing, NY 11355-2942
Phone
(929) 391-1521
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Ummara Naz MBR
Title
Director
Phone
(929) 391-1521

Specialties & licenses 1

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

Addresses

Primary practice location

4332 Kissena Blvd Apt 11T
Flushing, NY 11355-2942

Mailing address

4332 Kissena Blvd Apt 11T
Flushing, NY 11355-2942

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1770476566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD APT 11T",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD APT 11T",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552942",
            "telephone_number": "929-391-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "NAZ MBR",
        "authorized_official_first_name": "UMMARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "929-391-1521"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.