Active NPI
Unicast Inc.
- Durable Medical Equipment & Medical Supplies
- Fresh Meadows, NY
National Provider Identifier
1083277891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNICAST INC.
- Practice address
- 6909 164TH St FL 2
Fresh Meadows, NY 11365-3159 - Phone
- (718) 663-2089
- Fax
- (845) 386-0177
- NPI assigned
- Apr 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladimir Gavrilov, OWNER
- Title
- Owner
- Phone
- (917) 589-9817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6909 164TH St FL 2
Fresh Meadows, NY 11365-3159
Mailing address
6909 164TH St FL 2
Fresh Meadows, NY 11365-3159
Phone (718) 663-2089
Other names 1
- unicast inc.
National Provider Directory
National Provider DirectoryLocations
6909 164th St
Fl 2
Fresh Meadows, NY 11365
Phone (718) 663-2089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562803200000",
"number": "1083277891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 164TH ST FL 2",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653159",
"telephone_number": "718-663-2089",
"fax_number": "845-386-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 164TH ST FL 2",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653159",
"telephone_number": "718-663-2089",
"fax_number": "845-386-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNICAST INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-17",
"last_updated": "2019-07-11",
"status": "A",
"authorized_official_last_name": "GAVRILOV",
"authorized_official_first_name": "VLADIMIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-589-9817",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "unicast inc.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "unicast inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.