Individual provider Active NPI

Richard Shadrin

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1053704528
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2014413-DCA Issued in NY
Practice address
7 Bay 35TH St
Brooklyn, NY 11214-4303
Phone
(917) 809-9090
Fax
(917) 809-7079
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2014413-DCA NY Primary

Addresses

Primary practice location

7 Bay 35TH St
Brooklyn, NY 11214-4303

Mailing address

7 Bay 35TH St
Brooklyn, NY 11214-4303
Phone (917) 809-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2014413-DCANYMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Medical Supply Durable Medical Equipment & Medical Supplies Current Accepting new patients
Caremore Consulting, Inc. Durable Medical Equipment & Medical Supplies Current Accepting new patients
Tender Pharmacy Inc PastSince Mar 16, 2021 Accepting new patients

Locations

7 Bay 35th St
Brooklyn, NY 11214
Phone (718) 684-5890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1053704528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BAY 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144303",
            "telephone_number": "917-809-9090",
            "fax_number": "917-809-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BAY 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144303",
            "telephone_number": "917-809-9090",
            "fax_number": "917-809-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADRIN",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2014413-DCA",
            "primary": true
        }
    ],
    "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 Mar 9, 2015; 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.