Provider Demographics
NPI:1083417927
Name:NEXGEN MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:NEXGEN MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-401-0033
Mailing Address - Street 1:83 CRANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4923
Mailing Address - Country:US
Mailing Address - Phone:631-401-0033
Mailing Address - Fax:
Practice Address - Street 1:83 CRANBERRY ST
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-4923
Practice Address - Country:US
Practice Address - Phone:631-401-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies