Organization Active NPI

Grace DME Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Great Neck, NY
National Provider Identifier
1629880356
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GRACE DME SOLUTIONS LLC
Practice address
10 Grace Ave
Ste 11
Great Neck, NY 11021-2423
Phone
(917) 717-0586
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Arkady Nektalov
Title
President
Phone
(917) 717-0586

Specialties & licenses 1

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

Addresses

Primary practice location

10 Grace Ave
Ste 11
Great Neck, NY 11021-2423

Mailing address

10 Grace Ave Ste 11
Great Neck, NY 11021-2423
Phone (917) 717-0586

National Provider Directory

National Provider Directory

Locations

10 Grace Ave
Ste 11
Great Neck, NY 11021
Phone (917) 717-0586

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1629880356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "917-717-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE",
            "address_2": "STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "917-717-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DME SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "ARKADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-717-0586"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.