Custom Equipment Ny Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOM EQUIPMENT NY INC

Practice address

83 4TH Ave
Brooklyn, NY 11217-2703

Phone

(347) 871-0570

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Margarita Lisenenkov

Title

Owner

Phone

(347) 871-0570

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1174088025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HORATIO ST APT 114",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141572",
            "telephone_number": "347-871-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172703",
            "telephone_number": "347-871-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM EQUIPMENT NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "LISENENKOV",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-871-0570"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255761318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brailee Custer
• Kevin Tyrone Custis, M.D.
• Mary Rose L Custodio
• Custom Chemists Inc. (Davids Pharmacy LTC)
• Custom Chemists Inc. (David's Pharmacy)
• Barbara Ann Cusumano
• Nicole Marie Cusumano, OTR L
• Ron Ronald Cutab
• Del Carmen Cuthbert
• Susan Cuthbert, SPECIAL EDUCATION

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 5, 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.

Verify at the official NPI Registry.