Organization Active NPI

Pro Vac Care

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1659779080
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
185689 Issued in NY
Legal business name
PRO VAC CARE
Practice address
5014-- 16 Ave
Suite 181
Brooklyn, NY 11204-1404
Phone
(718) 871-2800
NPI assigned
Dec 17, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Gary Guttman
Title
Ceo
Phone
(718) 871-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 185689 NY Primary

Addresses

Primary practice location

5014-- 16 Ave
Suite 181
Brooklyn, NY 11204-1404

Mailing address

5014-16 Ave
Suite 181
Brooklyn, NY 11204-1404
Phone (718) 871-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1659779080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014-16 AVE",
            "address_2": "SUITE 181",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041404",
            "telephone_number": "718-871-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014-- 16 AVE",
            "address_2": "SUITE 181",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041404",
            "telephone_number": "718-871-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VAC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-871-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "185689",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2014; 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.