MK Supply & Tech Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MK SUPPLY & TECH INC

Practice address

188-02 64TH Ave Apt 8I
Fresh Meadows, NY 11365-3809

Phone

(201) 469-5875

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Marina Katayeva

Title

President

Phone

(201) 469-5875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1154960003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825377",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825377",
            "telephone_number": "201-469-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188-02 64TH AVE APT 8I",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653809",
            "telephone_number": "201-469-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK SUPPLY & TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "KATAYEVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-469-5875"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana Mirakova
• Yosef Mirman, RN
• Uriel Mirzakandov, M.D.
• Dana Miska
• MK Early Development Inc
• Ashgan Magdy Mohammed, PA-C
• Shehrina MD Mohiuddin
• Mommy Social Adult Day Care, Inc.
• Janine Mongelli
• Mayasa Monroe

• Durable Medical Equipment & Medical Supplies in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.