Organization Active NPI

Health Ware Corp

  • Durable Medical Equipment & Medical Supplies
  • Forest Hills, NY
National Provider Identifier
1003592767
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALTH WARE CORP
Practice address
10205 63Rd Rd FL 1
Forest Hills, NY 11375-1048
Phone
(347) 448-6377
Fax
(347) 448-6135
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elvira Tazetdinova
Title
President
Phone
(347) 448-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10205 63Rd Rd FL 1
Forest Hills, NY 11375-1048

Mailing address

10205 63Rd Rd FL 1
Forest Hills, NY 11375-1048
Phone (347) 448-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240529000068 NY DME Supplier - Medical Supply Company 0446692032 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

10205 63rd Rd
Fl 1
Forest Hills, NY 11375
Phone (347) 448-6377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1003592767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 63RD RD FL 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751048",
            "telephone_number": "347-448-6377",
            "fax_number": "347-448-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 63RD RD FL 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751048",
            "telephone_number": "347-448-6377",
            "fax_number": "347-448-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "TAZETDINOVA",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-448-6377"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.