Organization Active NPI

Bog Health Supplies Co.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1649470709
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
RFO02272 Issued in NY
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

Updated by the provider on Dec 4, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02256128MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.