Organization Active NPI

Progressive DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1265922033
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROGRESSIVE DME LLC
Practice address
111 Storer Ave Ste 1B
Staten Island, NY 10309-1405
Phone
(718) 971-9707
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Igor Gasanov
Title
President
Phone
(718) 971-9707

Specialties & licenses 1

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

Addresses

Primary practice location

111 Storer Ave Ste 1B
Staten Island, NY 10309-1405

Mailing address

111 Storer Ave Ste 1B
Staten Island, NY 10309-1405
Phone (718) 971-9707

National Provider Directory

National Provider Directory

Locations

111 Storer Ave
Ste 1B
Staten Island, NY 10309
Phone (718) 971-9707

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1265922033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STORER AVE STE 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091405",
            "telephone_number": "718-971-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STORER AVE STE 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091405",
            "telephone_number": "718-971-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "GASANOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-971-9707"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.