Provider Demographics
NPI:1952115156
Name:VERNIXOR RIDGE
Entity type:Organization
Organization Name:VERNIXOR RIDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-825-1759
Mailing Address - Street 1:201 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3533
Practice Address - Country:US
Practice Address - Phone:347-825-1759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies