Active NPI
K. Diamond Pharmacy. Inc
Doing business as Dermer Surgical Supplies & Orthotics
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1407963994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 020075
- Legal business name
- K. DIAMOND PHARMACY. INC
- Doing business as
- Dermer Surgical Supplies & Orthotics
- Practice address
- 2064 Flatbush Ave
Brooklyn, NY 11234-4314 - Phone
- (718) 377-4900
- Fax
- (718) 252-6050
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason A Napolitano
- Title
- Store Manager
- Phone
- (718) 377-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 020075 | NY | Primary |
Addresses
Primary practice location
2064 Flatbush Ave
Brooklyn, NY 11234-4314
Mailing address
2064 Flatbush Ave
Brooklyn, NY 11234-4314
Phone (718) 377-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01102652 | Medicaid | NY | |
| 2065595 | Other | PK |
Other names 1
- DERMER SURGICAL SUPPLIES & ORTHOTICS
National Provider Directory
National Provider DirectoryLocations
2064 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 377-4900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Brooklyn, NY
- NPI 1619117785
-
- Pharmacist
- Staten Island, NY
- NPI 1659606572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564963200000",
"number": "1407963994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344314",
"telephone_number": "718-377-4900",
"fax_number": "718-252-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2064 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344314",
"telephone_number": "718-377-4900",
"fax_number": "718-252-6050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K. DIAMOND PHARMACY. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2019-08-05",
"status": "A",
"authorized_official_last_name": "NAPOLITANO",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "STORE MANAGER",
"authorized_official_telephone_number": "718-377-4900"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "020075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01102652",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2065595",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DERMER SURGICAL SUPPLIES & ORTHOTICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.