Complete Ortho Supply Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COMPLETE ORTHO SUPPLY INC.

Practice address

1701 Avenue P Ste M
Brooklyn, NY 11229-1205

Phone

(212) 920-0133

NPI assigned

Oct 4, 2020

Organization subpart

No

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

Authorized official

Name

Elchin Rafailov Sr.NPI 1336675776

Title

President

Phone

(212) 920-0133

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elchin Rafailov, LIVERY CAR SERVICE

  • Prevention Professional
  • Brooklyn, NY
  • NPI 1336675776
  NPD Authorized official

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1043817976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AVENUE P STE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291205",
            "telephone_number": "212-920-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AVENUE P STE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291205",
            "telephone_number": "212-920-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE ORTHO SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "RAFAILOV",
        "authorized_official_first_name": "ELCHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-920-0133",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.