Organization Active NPI

Panda Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Forest Hills, NY
National Provider Identifier
1215710496
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PANDA MEDICAL SUPPLIES LLC
Practice address
7552 113TH St
Forest Hills, NY 11375-7467
Phone
(347) 480-5075
Fax
(347) 480-5097
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Avner Levieyev
Title
Authorized Offical
Phone
(347) 480-5075

Specialties & licenses 1

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

Addresses

Primary practice location

7552 113TH St
Forest Hills, NY 11375-7467

Mailing address

7552 113TH St
Forest Hills, NY 11375-7467
Phone (347) 480-5075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1215710496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757467",
            "telephone_number": "347-480-5075",
            "fax_number": "347-480-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757467",
            "telephone_number": "347-480-5075",
            "fax_number": "347-480-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "LEVIEYEV",
        "authorized_official_first_name": "AVNER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "347-480-5075"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

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