Organization Active NPI

Kamara Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1548805609
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KAMARA SUPPLIES INC
Practice address
137 Kreischer St
Staten Island, NY 10309-1352
Phone
(212) 931-5096
Fax
(646) 607-3303
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Russell Agarunov
Title
Owner
Phone
(212) 931-5096

Specialties & licenses 1

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

Addresses

Primary practice location

137 Kreischer St
Staten Island, NY 10309-1352

Mailing address

137 Kreischer St
Staten Island, NY 10309-1352
Phone (212) 931-5096

Other names 1

  • KAMARA Supplies Former legal business name

National Provider Directory

National Provider Directory

Locations

137 Kreischer St
Staten Island, NY 10309
Phone (212) 931-5096

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1548805609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 KREISCHER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091352",
            "telephone_number": "212-931-5096",
            "fax_number": "646-607-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 KREISCHER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091352",
            "telephone_number": "212-931-5096",
            "fax_number": "646-607-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMARA SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "AGARUNOV",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-931-5096"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAMARA Supplies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.