Khvicha Berulava

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2127903-DCWP Issued in NY

Practice address

1539 Franklin Ave RM 301
Mineola, NY 11501-4835

Phone

(347) 781-6115

NPI assigned

Dec 26, 2025

Last updated

Dec 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Ny Services Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mineola, NY
  • NPI 1598621005
  NPD Authorized official

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1386500015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 FRANKLIN AVE RM 301",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014835",
            "telephone_number": "347-781-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 FRANKLIN AVE RM 301",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014835",
            "telephone_number": "347-781-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERULAVA",
        "first_name": "KHVICHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2127903-DCWP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bergman, M.D.
• Patricia C Bergsohn, P.T.
• Jasmine Susana Beria, D.O., MPH
• Grace Bernaudo
• Mariya Bershad, MD
• Allana Bethel Daniel
• Donna J Better, M.D.
• Niyati Ajit Bhagwat
• Divya Bhana
• Rupal Bhana

• Durable Medical Equipment & Medical Supplies in Mineola, NY
• Providers in Mineola, 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 Dec 26, 2025; 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.