Organization Active NPI

Yehuda'S Shoes Inc.

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1609013499
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
YEHUDA'S SHOES INC.
Practice address
3922 18TH Ave
Brooklyn, NY 11218-5804
Phone
(718) 438-6954
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mr. Alex A Iskhakov, CFTSNPI 1568655454
Title
Pres.
Phone
(646) 335-7857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3922 18TH Ave
Brooklyn, NY 11218-5804

Mailing address

3922 18TH Ave
Brooklyn, NY 11218-5804
Phone (718) 438-6954

National Provider Directory

National Provider Directory

Locations

3922 18th Ave
Brooklyn, NY 11218
Phone (718) 438-6954

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1609013499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185804",
            "telephone_number": "718-438-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185804",
            "telephone_number": "718-438-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHUDA'S SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "ISKHAKOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "646-335-7857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.