Active NPI
Health Choice Medical Supplies Inc
- Prosthetic/Orthotic Supplier
- Brooklyn, NY
National Provider Identifier
1629466685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HEALTH CHOICE MEDICAL SUPPLIES INC
- Practice address
- 4008 13TH Ave
Brooklyn, NY 11218-3502 - Phone
- (718) 645-7771
- NPI assigned
- Dec 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Rafailov
- Title
- Owner
- Phone
- (718) 645-7771
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4008 13TH Ave
Brooklyn, NY 11218-3502
Mailing address
4008 13TH Ave
Brooklyn, NY 11218-3502
Phone (718) 645-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150817000177 | NY | DME Supplier - Medical Supply Company | 8426363722 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Health Choice Medical Supplies Inc | Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Osteogenesis Stimulators|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehic… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
4008 13th Ave
Brooklyn, NY 11218
Phone (718) 645-7771
1820 Bay Ave
Brooklyn, NY 11230
Phone (718) 645-7771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1629466685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183502",
"telephone_number": "718-645-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183502",
"telephone_number": "718-645-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CHOICE MEDICAL SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-29",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "RAFAILOV",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-645-7771"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"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 9, 2024; 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.