NPIMap

Organization Active NPI

Rego Med Supplies Corp

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Rego Park, NY
National Provider Identifier
1346522448
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
33 Issued in NY
Legal business name
REGO MED SUPPLIES CORP
Practice address
9937 63Rd Ave
Rego Park, NY 11374-1942
Phone
(917) 304-6657
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Mr. Gabriyel Adzhiashvili
Title
Owner
Phone
(917) 304-6657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 33 NY Primary

Addresses

Primary practice location

9937 63Rd Ave
Rego Park, NY 11374-1942

Mailing address

9937 63Rd Ave
Rego Park, NY 11374-1942
Phone (917) 304-6657

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1346522448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 63RD AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741942",
            "telephone_number": "917-304-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 63RD AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741942",
            "telephone_number": "917-304-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGO MED SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ADZHIASHVILI",
        "authorized_official_first_name": "GABRIYEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-304-6657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "33",
            "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 Sep 14, 2011; 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.