Organization Active NPI

Ozone Park Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Ozone Park, NY
National Provider Identifier
1497353221
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OZONE PARK SUPPLY INC
Practice address
9718 101St Ave
Ozone Park, NY 11416-2561
Phone
(917) 375-3439
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Michael Borukhov
Title
Authorized Person
Phone
(917) 375-3439

Specialties & licenses 1

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

Addresses

Primary practice location

9718 101St Ave
Ozone Park, NY 11416-2561

Mailing address

9718 101St Ave
Ozone Park, NY 11416-2561
Phone (917) 375-3439

National Provider Directory

National Provider Directory

Locations

9718 101st Ave
Ste A
Ozone Park, NY 11416
Phone (917) 260-8545

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1497353221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162561",
            "telephone_number": "917-375-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162561",
            "telephone_number": "917-375-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZONE PARK SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BORUKHOV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "917-375-3439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.