Eagle Ny Services Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAGLE NY SERVICES INC.

Practice address

1539 Franklin Ave RM 301
Mineola, NY 11501-4835

Phone

(347) 781-6115

NPI assigned

Dec 29, 2025

Organization subpart

No

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

Authorized official

Name

Khvicha BerulavaNPI 1386500015

Title

President

Phone

(347) 781-6115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khvicha Berulava

  • Durable Medical Equipment & Medical Supplies
  • Mineola, NY
  • NPI 1386500015
  NPD Authorized official

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1598621005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 FRANKLIN AVE RM 301",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014835",
            "telephone_number": "347-781-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 FRANKLIN AVE RM 301",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014835",
            "telephone_number": "347-781-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE NY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "BERULAVA",
        "authorized_official_first_name": "KHVICHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-781-6115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Dunne
• Anthony J Durante, MD
• Danielle Leigh Durels, LMSW
• Dustin R. Solis DDS PLLC
• Dynamic Physical Therapy Rehab of Ny P.C.
• Vincent Paul Eaton, MD (AS OF 5/11/2023)
• Theresa Eaves
• Barbara Pam Eccher, P.T.
• Maxwell Corey Efros, MD
• Penny Eisenberg, LMSW

• Durable Medical Equipment & Medical Supplies in Mineola, NY
• Providers in Mineola, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.