Active NPI
Bog Health Supplies Co.
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1649470709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- RFO02272
- Legal business name
- BOG HEALTH SUPPLIES CO.
- Practice address
- 1115 Newkirk Ave
Brooklyn, NY 11230-1417 - Phone
- (718) 703-2031
- Fax
- (718) 703-2086
- NPI assigned
- Jul 18, 2007
- 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
- Mr. Boris Ruzin
- Title
- President
- Phone
- (718) 703-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | RFO02272 | NY | Primary |
Addresses
Primary practice location
1115 Newkirk Ave
Brooklyn, NY 11230-1417
Mailing address
1115 Newkirk Ave
Brooklyn, NY 11230-1417
Phone (718) 703-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02256128 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1115 Newkirk Ave
Brooklyn, NY 11230
Phone (718) 703-2031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259884800000",
"number": "1649470709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 NEWKIRK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301417",
"telephone_number": "718-703-2031",
"fax_number": "718-703-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 NEWKIRK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301417",
"telephone_number": "718-703-2031",
"fax_number": "718-703-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOG HEALTH SUPPLIES CO.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2009-12-04",
"status": "A",
"authorized_official_last_name": "RUZIN",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-703-2031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "RFO02272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02256128",
"state": "NY"
}
],
"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 Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.