Adventure Medical Supply LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ADVENTURE MEDICAL SUPPLY LLC

Practice address

3507 Ave S
Ground Floor
Brooklyn, NY 11234-3454

Phone

(718) 564-6225

Fax

(718) 564-6226

NPI assigned

Oct 30, 2015

Last updated

Jul 21, 2022By 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

Asher Tsvi Mitteldorf, MBA, ATPNPI 1992177539

Title

Chief Executive Officer

Phone

(718) 564-6225

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asher Mitteldorf, MBA, ATP

  • Customized Equipment (DME)
  • Brooklyn, NY
  • NPI 1992177539

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699147546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 AVE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343454",
            "telephone_number": "718-564-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 AVE S",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343454",
            "telephone_number": "718-564-6225",
            "fax_number": "718-564-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITTELDORF",
        "authorized_official_first_name": "ASHER",
        "authorized_official_middle_name": "TSVI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-564-6225",
        "authorized_official_credential": "MBA, ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Customized Equipment (DME) 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.