Organization Active NPI

Pak DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1821804378
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAK DME LLC
Practice address
30 W Broad St Ste 503
Rochester, NY 14614-2120
Phone
(432) 243-4841
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Gulfam Riasat
Title
Ceo
Phone
(432) 243-4841

Specialties & licenses 1

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

Addresses

Primary practice location

30 W Broad St Ste 503
Rochester, NY 14614-2120

Mailing address

30 W Broad St Ste 503
Rochester, NY 14614-2120
Phone (432) 243-4841

National Provider Directory

National Provider Directory

Locations

30 W Broad St
Ste 503
Rochester, NY 14614

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1821804378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W BROAD ST STE 503",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146142120",
            "telephone_number": "432-243-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W BROAD ST STE 503",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146142120",
            "telephone_number": "432-243-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "RIASAT",
        "authorized_official_first_name": "GULFAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-243-4841"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.