Active NPI
Ad Legacy LLC
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1891619573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AD LEGACY LLC
- Practice address
- 4539 N 22ND St Ste 30150
Phoenix, AZ 85016-4639 - Phone
- (516) 500-0519
- NPI assigned
- Aug 6, 2026
- Last updated
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniyal Qasim
- Title
- Member
- Phone
- (516) 500-0519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4539 N 22ND St Ste 30150
Phoenix, AZ 85016-4639
Mailing address
14 Atlas CT
Huntington, NY 11743-5416
National Provider Directory
National Provider DirectoryLocations
4539 N 22nd St
Ste 30150
Phoenix, AZ 85016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
- NPI 1063339596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1891619573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ATLAS CT",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117435416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE 30150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "516-500-0519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AD LEGACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-06",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "QASIM",
"authorized_official_first_name": "DANIYAL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "516-500-0519"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.