Super Tech Wheelchair Service and Repair Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUPER TECH WHEELCHAIR SERVICE AND REPAIR INC

Practice address

9420 210TH Street
Queens Village, NY 11428

Phone

(347) 601-7336

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Dominic E Hodge

Title

Owner

Phone

(347) 601-7336

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649790569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281525",
            "telephone_number": "347-601-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 210TH STREET",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "347-601-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER TECH WHEELCHAIR SERVICE AND REPAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-601-7336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Ellen Sumler, LCSW
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• Zhenjiang Sun, M.D.
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• Marc Surpris, LPN
• Suzanne O'Donoghue, Licensed Clinical Social Worker
• Faizan Syed, M.D.
• Cho Chak Sze

• Durable Medical Equipment & Medical Supplies in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.