Gotham Supply Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOTHAM SUPPLY GROUP INC

Practice address

344 Jericho Tpke Apt 2
Floral Park, NY 11001-2166

Phone

(516) 519-8880

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Vladimir NektalovNPI 1467069443

Title

President

Phone

(516) 519-8880

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Nektalov

  • Durable Medical Equipment & Medical Supplies
  • Floral Park, NY
  • NPI 1467069443
  NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1295497220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 JERICHO TPKE SUITE 2",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 JERICHO TPKE APT 2",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012166",
            "telephone_number": "516-519-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM SUPPLY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-519-8880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Golub
• Rena J Gombo, MSED
• Melissa Goncalves-Clarke, LMSW
• Good Choice Medical PC
• Nancy Ellen Gorry, MS,LSP
• Harold Gottlieb, DMD
• Stan Gottlieb
• Gramercy Park Physical Therapy PC
• Faye Grand, OTR L CHT
• Erick Theo Grigoleit, MS, RDN

• Durable Medical Equipment & Medical Supplies in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.