Organization Active NPI

Darel Medical Group LLC

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1699290759
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DAREL MEDICAL GROUP LLC
Practice address
106 Cortelyou Rd
Brooklyn, NY 11218-4510
Phone
(718) 310-3505
Fax
(718) 310-3506
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Mr. Olegs Terehovs
Title
Executive Director
Phone
(718) 310-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

106 Cortelyou Rd
Brooklyn, NY 11218-4510

Mailing address

106 Cortelyou Rd
Brooklyn, NY 11218-4510
Phone (718) 310-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112000701 NY DME Supplier - Medical Supply Company With Orthotic-Prosthetic 6002175312 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Darel Medical Group LLC106 Cortelyou Rd, Brooklyn, NY 11218-4510(718) 310-3505 Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Nov 3, 2017

National Provider Directory

National Provider Directory

Locations

106 Cortelyou Rd
Brooklyn, NY 11218
Phone (718) 300-5358

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1699290759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184510",
            "telephone_number": "718-310-3505",
            "fax_number": "718-310-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184510",
            "telephone_number": "718-310-3505",
            "fax_number": "718-310-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAREL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "TEREHOVS",
        "authorized_official_first_name": "OLEGS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-310-3505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.