American Kinetics Lab Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

CFOM0560 Issued in DE

Legal business name

AMERICAN KINETICS LAB INC.

Practice address

82 4TH Ave Ste 1
Brooklyn, NY 11217-5280

Phone

(347) 850-4550

Fax

(917) 688-2555

NPI assigned

Nov 26, 2013

Last updated

Jun 12, 2025By the provider in NPPES

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/President

Phone

(347) 850-4550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1255761318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 4TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175280",
            "telephone_number": "347-850-4550",
            "fax_number": "917-688-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 4TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175280",
            "telephone_number": "347-850-4550",
            "fax_number": "917-688-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN KINETICS LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LISENENKOV",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-850-4550"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "DE",
            "license": "CFOM0560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.