Organization Active NPI

Expo Medical Supply Corp.

  • Durable Medical Equipment & Medical Supplies
  • Hewlett, NY
National Provider Identifier
1114857356
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXPO MEDICAL SUPPLY CORP.
Practice address
1553 Broadway Ste 1
Hewlett, NY 11557-1427
Phone
(212) 480-0710
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Jonathan Mordurhayev
Title
Owner
Phone
(212) 480-0710

Specialties & licenses 1

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

Addresses

Primary practice location

1553 Broadway Ste 1
Hewlett, NY 11557-1427

Mailing address

1553 Broadway Ste 1
Hewlett, NY 11557-1427
Phone (212) 480-0710

National Provider Directory

National Provider Directory

Locations

1553 Broadway
Ste 1
Hewlett, NY 11557
Phone (212) 480-0710

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1114857356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 BROADWAY STE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571427",
            "telephone_number": "212-480-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 BROADWAY STE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571427",
            "telephone_number": "212-480-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPO MEDICAL SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "MORDURHAYEV",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-480-0710"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.