Krasavchik Holdings Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KRASAVCHIK HOLDINGS INC

Practice address

2907 Surf Ave
Brooklyn, NY 11224-1705

Phone

(718) 483-8722

Fax

(718) 483-8723

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Amal Abdujabbarov

Title

President

Phone

(786) 999-4646

Specialties & licenses 1

Addresses

Other names 1

• SEAGATE MEDICAL SUPPLY Doing business as

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

Locations

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1639923469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241705",
            "telephone_number": "718-483-8722",
            "fax_number": "718-483-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241705",
            "telephone_number": "718-483-8722",
            "fax_number": "718-483-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASAVCHIK HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "ABDUJABBAROV",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-999-4646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEAGATE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Kranz
• Paul David Kranz, MD
• Caroline Elizabeth Krapf, SLP
• Andrey Krapivin, MD
• Estella Kras
• David Jerome Krase
• Denis Krasilnikov, DDS
• Marina Krasitskaya, FNP
• Lindsay Krasna, RD, CEDRD-S, CDN
• Yisroel C Krasne

• Oxygen Equipment & Supplies (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.