Organization Active NPI

Vip Med Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1336929280
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VIP MED SUPPLY INC.
Practice address
254 Kings Hwy
Brooklyn, NY 11223-1205
Phone
(718) 576-6033
Fax
(718) 576-6034
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Yan Agaronov
Title
President
Phone
(917) 941-5559

Specialties & licenses 1

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

Addresses

Primary practice location

254 Kings Hwy
Brooklyn, NY 11223-1205

Mailing address

254 Kings Hwy
Brooklyn, NY 11223-1205
Phone (718) 576-6033

National Provider Directory

National Provider Directory

Locations

254 Kings Hwy
Brooklyn, NY 11223
Phone (718) 576-6033

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1336929280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231205",
            "telephone_number": "718-576-6033",
            "fax_number": "718-576-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231205",
            "telephone_number": "718-576-6033",
            "fax_number": "718-576-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MED SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "AGARONOV",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-941-5559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 28, 2023; 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.