Individual provider Active NPI

Eddie Kemelman

  • Durable Medical Equipment & Medical Supplies
  • Spring Valley, NY
National Provider Identifier
1659005833
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
1 Perlman Dr Ste 101
Spring Valley, NY 10977-5281
Phone
(718) 233-4999
Fax
(718) 233-1190
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1 Perlman Dr Ste 101
Spring Valley, NY 10977-5281

Mailing address

1 Perlman Dr Ste 101
Spring Valley, NY 10977-5281
Phone (718) 233-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwood Surgical Supplies Inc Durable Medical Equipment & Medical Supplies Current Accepting new patients
Turning Point Counseling Center LLC Current Accepting new patients
Healthy Elite Inc. Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

1 Perlman Dr
Ste 101
Spring Valley, NY 10977
Phone (845) 385-6962

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1659005833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR STE 101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "718-233-4999",
            "fax_number": "718-233-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR STE 101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "718-233-4999",
            "fax_number": "718-233-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMELMAN",
        "first_name": "EDDIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.