Idm Supply Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDM SUPPLY GROUP INC

Practice address

220 Jericho Tpke
Floral Park, NY 11001-2156

Phone

(516) 305-5939

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Izrail Pinkhasov

Title

Owner

Phone

(516) 305-5939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1467112789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012156",
            "telephone_number": "516-305-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012156",
            "telephone_number": "516-305-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDM SUPPLY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PINKHASOV",
        "authorized_official_first_name": "IZRAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-305-5939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Hyde, R.N.
• Sarah Hyman
• Hussein M Ibrahim, DSW
• Iman Ibrahim, PT
• Akiko Ida
• Ihome Rehab,LLC
• Inder Therapy
• Jennifer Ingarra-Sommo
• Stephanie Ingwersen, NP
• Irvin L Kotkin MD PC (Nassau Queens Physical Medicine and Rehabilitation Services)

• Durable Medical Equipment & Medical Supplies in Floral Park, NY
• Providers in Floral Park, 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 28, 2021; 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.