Provider Demographics
NPI:1700628997
Name:ELITE DME US INC
Entity type:Organization
Organization Name:ELITE DME US INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAJIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-552-9256
Mailing Address - Street 1:2928 JEROME AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-1659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2928 JEROME AVE APT 3C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1659
Practice Address - Country:US
Practice Address - Phone:646-552-9256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies