Provider Demographics
NPI:1831994375
Name:NEXUS RIDGE
Entity type:Organization
Organization Name:NEXUS RIDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEL
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-315-4742
Mailing Address - Street 1:393 WALLACE WAY
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-5075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:393 WALLACE WAY
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-5075
Practice Address - Country:US
Practice Address - Phone:432-301-9194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies