Organization Active NPI

Homed Inc

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1356374904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMED INC
Practice address
4876 Broadway
New York, NY 10034-3100
Phone
(212) 942-3300
Fax
(212) 942-2277
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roman Kogan
Title
President
Phone
(212) 942-3300

Specialties & licenses 1

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

Addresses

Primary practice location

4876 Broadway
New York, NY 10034-3100

Mailing address

4876 Broadway
New York, NY 10034-3100
Phone (212) 942-3300

Other identifiers 1

IdentifierTypeStateIssuer
02221378MedicaidNY

National Provider Directory

National Provider Directory

Locations

4876 Broadway
New York, NY 10034
Phone (212) 942-3300

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356374904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343100",
            "telephone_number": "212-942-3300",
            "fax_number": "212-942-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343100",
            "telephone_number": "212-942-3300",
            "fax_number": "212-942-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-942-3300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02221378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.