Danylo Fedotov

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2108052DCA Issued in NY

Practice address

621 Brighton Beach Ave Ste 215
Brooklyn, NY 11235-6405

Phone

(347) 728-7774

NPI assigned

Feb 26, 2024

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 and National Provider Directory roles.

• Welta Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1003673757
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1407612682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240430",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112240430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BRIGHTON BEACH AVE STE 215",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356405",
            "telephone_number": "347-728-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOTOV",
        "first_name": "DANYLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2108052DCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elina Fedorenko, SC
• Olga Fedorenko
• Volodimir Fedoriv
• Dimitri Fedorov, PA
• Peter Vladimir Fedorov, MD
• Oksana Fedotova, M.S. CF-SLP TSSLD BE
• Hana Fedyukova, M.A.CCC-SLP
• Feel at Home Adult Day Care Center
• Feel Good Medical PC
• Feel Good Medical PC

• 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 Feb 26, 2024; 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.