NPIMap

Organization Active NPI

D. a. Surgical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1629459839
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
D. A. SURGICAL SUPPLY, INC
Practice address
4877 Broadway
New York, NY 10034-3111
Phone
(212) 569-1200
Fax
(212) 569-1201
NPI assigned
Jun 12, 2015
Organization subpart
Yes
Parent organization
D. A. SURGICAL SUPPLY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Mrs. Alla Rostomian
Title
Owner/Ceo
Phone
(718) 743-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4877 Broadway
New York, NY 10034-3111

Mailing address

4877 Broadway
New York, NY 10034-3111
Phone (212) 569-1200

National Provider Directory

National Provider Directory
Tax ID family
Da Surgical Supply Inc4 organizations share this tax ID, including this one
Part of
Da Surgical Supply Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1629459839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343111",
            "telephone_number": "212-569-1200",
            "fax_number": "212-569-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4877 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343111",
            "telephone_number": "212-569-1200",
            "fax_number": "212-569-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. A. SURGICAL SUPPLY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D. A. SURGICAL SUPPLY, INC",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "ROSTOMIAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "718-743-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.