Organization Active NPI

Paul Koslow, DPM

  • Durable Medical Equipment & Medical Supplies
  • Rego Park, NY
National Provider Identifier
1619145117
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N005473 Issued in NY
Legal business name
PAUL KOSLOW, DPM
Practice address
8911 63Rd Dr
Rego Park, NY 11374-3852
Phone
(718) 639-9887
Fax
(718) 457-5308
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Paul M Koslow, DPMNPI 1629018627
Title
Owner
Phone
(718) 639-9887

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
Durable Medical Equipment & Medical Supplies 332B00000X N005473 NY Primary

Addresses

Primary practice location

8911 63Rd Dr
Rego Park, NY 11374-3852

Mailing address

8911 63Rd Dr
Rego Park, NY 11374-3852
Phone (718) 639-9887

Other identifiers 1

IdentifierTypeStateIssuer
01945371MedicaidNY

National Provider Directory

National Provider Directory

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1619145117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743852",
            "telephone_number": "718-639-9887",
            "fax_number": "718-457-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743852",
            "telephone_number": "718-639-9887",
            "fax_number": "718-457-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KOSLOW, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "KOSLOW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-639-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01945371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.