Organization Active NPI

Miracle Home Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1508493891
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIRACLE HOME MEDICAL EQUIPMENT INC
Practice address
3052 Brighton 1St St Apt 4E
Brooklyn, NY 11235-8089
Phone
(310) 666-3355
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

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

Authorized official

Name
Mr. Jay De Guzman
Title
President
Phone
(310) 666-3355

Specialties & licenses 1

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

Addresses

Primary practice location

3052 Brighton 1St St Apt 4E
Brooklyn, NY 11235-8089

Mailing address

3052 Brighton 1St St Apt 4E
Brooklyn, NY 11235-8089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585353600000",
    "number": "1508493891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 BRIGHTON 1ST ST APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 BRIGHTON 1ST ST APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358089",
            "telephone_number": "310-666-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-3355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 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.