Organization Active NPI

Elitedx LLC

  • Durable Medical Equipment & Medical Supplies
  • Mechanicsburg, PA
National Provider Identifier
1831024579
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITEDX LLC
Practice address
613 Park Hills Dr
Mechanicsburg, PA 17055-4967
Phone
(914) 577-1352
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Moobeen Ali Khan
Title
Ceo
Phone
(914) 577-1352

Specialties & licenses 1

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

Addresses

Primary practice location

613 Park Hills Dr
Mechanicsburg, PA 17055-4967

Mailing address

613 Park Hills Dr
Mechanicsburg, PA 17055-4967
Phone (914) 577-1352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1831024579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK HILLS DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554967",
            "telephone_number": "914-577-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK HILLS DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554967",
            "telephone_number": "914-577-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ALI KHAN",
        "authorized_official_first_name": "MOOBEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-577-1352"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.