Organization Active NPI

Dr. Ira Tartack

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1053596239
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N002391 Issued in NY
Legal business name
DR. IRA TARTACK
Practice address
2650 Ocean Pkwy
#La
Brooklyn, NY 11235-7749
Phone
(718) 769-7800
Fax
(718) 934-5478
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Ira Melvin Tartack, D.P.M.
Title
Doctor/Owner
Phone
(718) 769-7800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N002391 NY Primary
Customized Equipment (DME) 332BC3200X N002391 NY
Prosthetic/Orthotic Supplier 335E00000X N002391 NY

Addresses

Primary practice location

2650 Ocean Pkwy
#La
Brooklyn, NY 11235-7749

Mailing address

2650 Ocean Pkwy
#La
Brooklyn, NY 11235-7749
Phone (718) 769-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1053596239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OCEAN PKWY",
            "address_2": "#LA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357749",
            "telephone_number": "718-769-7800",
            "fax_number": "718-934-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 OCEAN PKWY",
            "address_2": "#LA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357749",
            "telephone_number": "718-769-7800",
            "fax_number": "718-934-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IRA TARTACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TARTACK",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "718-769-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N002391",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N002391",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "N002391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.