Organization Active NPI

K. Diamond Pharmacy. Inc

Doing business as Dermer Surgical Supplies & Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1407963994
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
020075 Issued in NY
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

Updated by the provider on Aug 5, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01102652MedicaidNY
2065595OtherPK

Other names 1

  • DERMER SURGICAL SUPPLIES & ORTHOTICS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.