Bisyata Dishmaya Management Services Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BISYATA DISHMAYA MANAGEMENT SERVICES INC.

Practice address

41 Main St Ste 4
Monsey, NY 10952-3054

Phone

(718) 782-0600

Fax

(718) 782-0611

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Samuel D. Teitelbaum, PEDORTHISTNPI 1528197118

Title

Owner

Phone

(718) 782-0600

Specialties & licenses 1

Addresses

Other names 1

• Teitelbaum C-Ped Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel D. Teitelbaum, C-PED

  • Specialist
  • Brooklyn, NY
  • NPI 1528197118
  NPD (past) Authorized official

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1568042273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 46TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192331",
            "telephone_number": "718-782-0600",
            "fax_number": "718-782-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAIN ST STE 4",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523054",
            "telephone_number": "718-782-0600",
            "fax_number": "718-782-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Meron Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109506394",
            "country_code": "US",
            "telephone_number": "718-782-0600 x400",
            "fax_number": "718-782-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BISYATA DISHMAYA MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-782-0600",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teitelbaum C-Ped",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Monsey, NY
• Providers in Monsey, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.