Individual provider Active NPI

Efraym Mastov, DME

  • Durable Medical Equipment & Medical Supplies
  • Richmond Hill, NY
National Provider Identifier
1558876508
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
11611 Myrtle Ave
Richmond Hill, NY 11418-1744
Phone
(347) 514-9118
Fax
(347) 514-9119
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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

11611 Myrtle Ave
Richmond Hill, NY 11418-1744

Mailing address

11611 Myrtle Ave
Richmond Hill, NY 11418-1744
Phone (347) 514-9118

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhaven Scripts Inc Current Accepting new patients
Ema Medical Equipment Corp Durable Medical Equipment & Medical Supplies Current Accepting new patients
Myrtle DME Nyc Inc Durable Medical Equipment & Medical Supplies Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1558876508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181744",
            "telephone_number": "347-514-9118",
            "fax_number": "347-514-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181744",
            "telephone_number": "347-514-9118",
            "fax_number": "347-514-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOV",
        "first_name": "EFRAYM",
        "credential": "DME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2018-01-07",
        "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 Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.