Organization Active NPI

Yamato Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1073613006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YAMATO MEDICAL SUPPLY LLC
Practice address
9101 Lakeridge Blvd
Suite 23
Boca Raton, FL 33496-2181
Phone
(561) 613-2731
Fax
(561) 477-8794
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bradley Goldman
Title
Owner/Managing Member
Phone
(561) 218-8800

Specialties & licenses 1

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

Addresses

Primary practice location

9101 Lakeridge Blvd
Suite 23
Boca Raton, FL 33496-2181

Mailing address

9101 Lakeridge Blvd
Suite 23
Boca Raton, FL 33496-2181
Phone (561) 613-2731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073613006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LAKERIDGE BLVD",
            "address_2": "SUITE 23",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962181",
            "telephone_number": "561-613-2731",
            "fax_number": "561-477-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 LAKERIDGE BLVD",
            "address_2": "SUITE 23",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962181",
            "telephone_number": "561-613-2731",
            "fax_number": "561-477-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMATO MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "561-218-8800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.