Next Level Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEXT LEVEL MEDICAL SUPPLY, LLC

Practice address

2900 W Cypress Creek Rd Ste 6
Ft Lauderdale, FL 33309-1715

Phone

(954) 653-8313

NPI assigned

Jan 19, 2020

Last updated

Oct 5, 2020By 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

Mark N. Kokonas

Title

Member Manager

Phone

(954) 653-8313

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1487284386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-653-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-653-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "KOKONAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "954-653-8313"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1314839",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.