Provider Demographics
NPI:1497507438
Name:PARADIGM PEAK LLC
Entity Type:Organization
Organization Name:PARADIGM PEAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARRUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:IMRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-385-0697
Mailing Address - Street 1:35 FEILER CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2619
Mailing Address - Country:US
Mailing Address - Phone:732-385-0697
Mailing Address - Fax:
Practice Address - Street 1:35 FEILER CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08648-2619
Practice Address - Country:US
Practice Address - Phone:732-385-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies