Triboro Med Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1345262 Issued in NY

Legal business name

TRIBORO MED SUPPLY, INC

Practice address

379 Rockaway Ave
3 Floor
Brooklyn, NY 11212-5635

Phone

(718) 240-9770

Fax

(718) 240-9773

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Eduard Ochildiyev

Title

President

Phone

(718) 240-9770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1386957454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 ROCKAWAY AVE",
            "address_2": "3 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-240-9770",
            "fax_number": "718-240-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 ROCKAWAY AVE",
            "address_2": "3 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125635",
            "telephone_number": "718-240-9770",
            "fax_number": "718-240-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO MED SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "OCHILDIYEV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-240-9770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1345262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 19, 2010; 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.