Organization Active NPI

DD Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Rego Park, NY
National Provider Identifier
1245060292
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DD MEDICAL SUPPLY INC
Practice address
8551 Eliot Ave
Rego Park, NY 11374-2760
Phone
(929) 698-0074
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Nathan Abayev
Title
Authorized Official
Phone
(929) 698-0074

Specialties & licenses 1

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

Addresses

Primary practice location

8551 Eliot Ave
Rego Park, NY 11374-2760

Mailing address

8551 Eliot Ave
Rego Park, NY 11374-2760
Phone (929) 698-0074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1245060292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 ELIOT AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742760",
            "telephone_number": "929-698-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 ELIOT AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742760",
            "telephone_number": "929-698-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DD MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ABAYEV",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "929-698-0074"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.