SP Orthotic Surgical & Medical Supply,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1189863 Issued in NY

Legal business name

SP ORTHOTIC SURGICAL & MEDICAL SUPPLY,INC

Practice address

2946 Avenue S
Brooklyn, NY 11229-3229

Phone

(718) 627-3305

Fax

(718) 627-3307

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Grigoriy Spivak

Title

Owner

Phone

(718) 627-3305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1366551376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 AVE S",
            "address_2": "SP ORTHOTIC SURGICAL & MEDICAL SUPPLY, INC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-627-3305",
            "fax_number": "718-627-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293229",
            "telephone_number": "718-627-3305",
            "fax_number": "718-627-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP ORTHOTIC SURGICAL & MEDICAL SUPPLY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SPIVAK",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-627-3305"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1189863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandr Soyfer, LMT
• Alexandra Soyfer, MS, CCC-SLP
• Violet Soyfer, FNP-BC
• SP Medical Services PA
• SP NP in Psychiatry
• Jasmine Spacher, CD(CHB), CLC
• Monika Spacil
• Giorgio Spadaro, RPH
• Meema Spadola, CLC
• Monica Golden Spafford, MD

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 5, 2008; 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.