Individual provider Active NPI

Nicholas Robert Iarussi

  • Durable Medical Equipment & Medical Supplies
  • Kirtland, OH
National Provider Identifier
1548587140
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
7913 Chardon Rd
Unit #6
Kirtland, OH 44094-9541
Phone
(440) 256-4358
Fax
(440) 256-4359
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

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

Addresses

Primary practice location

7913 Chardon Rd
Unit #6
Kirtland, OH 44094-9541

Mailing address

7913 Chardon Rd
Unit #6
Kirtland, OH 44094-9541
Phone (440) 256-4358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1548587140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 CHARDON RD",
            "address_2": "UNIT #6",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440949541",
            "telephone_number": "440-256-4358",
            "fax_number": "440-256-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 CHARDON RD",
            "address_2": "UNIT #6",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440949541",
            "telephone_number": "440-256-4358",
            "fax_number": "440-256-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IARUSSI",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.