Organization Active NPI

Sr Wellness Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1376149583
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SR WELLNESS SERVICES INC
Practice address
465 Rockaway Ave
Valley Stream, NY 11581-1909
Phone
(516) 812-0070
Fax
(516) 871-0600
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Mr. Semkhay Rubinov
Title
President
Phone
(917) 699-1527

Specialties & licenses 1

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

Addresses

Primary practice location

465 Rockaway Ave
Valley Stream, NY 11581-1909

Mailing address

465 Rockaway Ave
Valley Stream, NY 11581-1909
Phone (516) 812-0070

National Provider Directory

National Provider Directory

Locations

465 Rockaway Ave
Valley Stream, NY 11581
Phone (516) 812-0070

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1376149583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ROCKAWAY AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811909",
            "telephone_number": "516-812-0070",
            "fax_number": "516-871-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ROCKAWAY AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811909",
            "telephone_number": "516-812-0070",
            "fax_number": "516-871-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "RUBINOV",
        "authorized_official_first_name": "SEMKHAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-699-1527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

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