Organization Active NPI

Ez Ortho Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1538710157
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EZ ORTHO SUPPLY INC
Practice address
1215 Gravesend Neck Rd Ste 1
Brooklyn, NY 11229-4209
Phone
(347) 391-2832
Fax
(347) 391-2783
NPI assigned
Sep 25, 2019
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Elnar Zarbail
Title
President
Phone
(347) 391-2783

Specialties & licenses 1

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

Addresses

Primary practice location

1215 Gravesend Neck Rd Ste 1
Brooklyn, NY 11229-4209

Mailing address

1215 Gravesend Neck Rd Ste 1
Brooklyn, NY 11229-4209
Phone (347) 391-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220711003160 NY DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic Personnel 1153701958 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1538710157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GRAVESEND NECK RD STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294209",
            "telephone_number": "347-391-2832",
            "fax_number": "347-391-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GRAVESEND NECK RD STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294209",
            "telephone_number": "347-391-2832",
            "fax_number": "347-391-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ ORTHO SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ZARBAIL",
        "authorized_official_first_name": "ELNAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-391-2783"
    },
    "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 Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.