Mickey D Medical Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICKEY D MEDICAL EQUIPMENT, INC.

Practice address

36 Ashwood CT
Staten Island, NY 10308-1881

Phone

(718) 887-4447

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Carla Kashuba

Title

Manager/Biller

Phone

(716) 598-1894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1649958950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ASHWOOD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081881",
            "telephone_number": "718-887-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ASHWOOD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081881",
            "telephone_number": "718-887-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKEY D MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "KASHUBA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MANAGER/BILLER",
        "authorized_official_telephone_number": "716-598-1894"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Staten Island, NY
• Providers in Staten Island, 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 6, 2023; 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.