Organization Active NPI

Woodhaven Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Woodhaven, NY
National Provider Identifier
1477047025
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WOODHAVEN MEDICAL SUPPLY
Practice address
8542 Woodhaven Blvd
Woodhaven, NY 11421-1436
Phone
(347) 644-1013
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Abram Zavulunov
Title
Owner
Phone
(347) 644-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8542 Woodhaven Blvd
Woodhaven, NY 11421-1436

Mailing address

8542 Woodhaven Blvd
Woodhaven, NY 11421-1436
Phone (347) 644-1013

National Provider Directory

National Provider Directory

Locations

8542 Woodhaven Blvd
Woodhaven, NY 11421
Phone (347) 644-1013

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1477047025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211436",
            "telephone_number": "347-644-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211436",
            "telephone_number": "347-644-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "ZAVULUNOV",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-644-1013"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.