Lifesaver Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1197116 Issued in NY

Legal business name

LIFESAVER MEDICAL SUPPLIES

Practice address

2350 80TH St
Brooklyn, NY 11214-2024

Phone

(718) 265-6010

Fax

(718) 265-6012

NPI assigned

Dec 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Kravchenko

Title

Owner/Manager

Phone

(718) 265-6010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679559645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142024",
            "telephone_number": "718-265-6010",
            "fax_number": "718-265-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142024",
            "telephone_number": "718-265-6010",
            "fax_number": "718-265-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAVER MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAVCHENKO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "718-265-6010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1197116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.