Organization Active NPI

Comeback Mobility

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1184310856
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMEBACK MOBILITY
Practice address
301 E 103Rd St Apt 6
New York, NY 10029-5653
Phone
(312) 927-4108
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Mr. Ilya Popov
Title
Ceo
Phone
(312) 927-4108

Specialties & licenses 1

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

Addresses

Primary practice location

301 E 103Rd St Apt 6
New York, NY 10029-5653

Mailing address

301 E 103Rd St Apt 6
New York, NY 10029-5653
Phone (312) 927-4108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1184310856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 103RD ST APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295653",
            "telephone_number": "312-927-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 103RD ST APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295653",
            "telephone_number": "312-927-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMEBACK MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "POPOV",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-927-4108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.