Organization Active NPI

Surgical Sock Shop II Inc

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1235275629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SURGICAL SOCK SHOP II INC
Practice address
5818 13TH Ave
Brooklyn, NY 11219-4906
Phone
(718) 436-7880
Fax
(718) 871-9451
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Blima Weingarten
Title
Owner
Phone
(718) 436-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NY Primary

Addresses

Primary practice location

5818 13TH Ave
Brooklyn, NY 11219-4906

Mailing address

5818 13TH Ave
Brooklyn, NY 11219-4906
Phone (718) 436-7880

Other identifiers 9

IdentifierTypeStateIssuer
ANC002202OtherNYAMERICHOICE OF NEW YORK
1000043682OtherNYAFFINITY HEALTH PLAN
G71512OtherNYEMPIRE BLUE CROSS
000412358466OtherNYHEALTH PLUS
100198108501OtherNYUNITED NEW YORK MEDICAID
N42380OtherNYHEALTHNET
A805786OtherNYOXFORD HEALTH PLAN
01788976MedicaidNY
V00477099OtherNYUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003613 NY DME Supplier - Medical Supply Company 7315159647 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Surgical Sock Shop II Inc5818 13TH Ave, Brooklyn, NY 11219-4906(718) 436-7880 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Surgical Sock Shop II Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235275629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194906",
            "telephone_number": "718-436-7880",
            "fax_number": "718-871-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194906",
            "telephone_number": "718-436-7880",
            "fax_number": "718-871-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SOCK SHOP II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "BLIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-436-7880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NEW YORK",
            "identifier": "ANC002202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000043682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "G71512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000412358466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED NEW YORK MEDICAID",
            "identifier": "100198108501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N42380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "A805786",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788976",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "V00477099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.