DME Certified Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DME CERTIFIED SUPPLIES, INC.

Practice address

4621 7TH Avenue
Brooklyn, NY 11220-6520

Phone

(347) 799-2228

Fax

(347) 799-2234

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Yegor Zadorozhnyi

Title

President

Phone

(347) 799-2228

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1629089016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 7TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206520",
            "telephone_number": "347-799-2228",
            "fax_number": "347-799-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 7TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206520",
            "telephone_number": "347-799-2228",
            "fax_number": "347-799-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME CERTIFIED SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "ZADOROZHNYI",
        "authorized_official_first_name": "YEGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-799-2228"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dmitriy Volotsenko Dental, P.C.

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.