Organization Active NPI

Craftform Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mt Vernon, NY
National Provider Identifier
1710105325
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRAFTFORM INC.
Practice address
23 Kenyan Place
Craftform Inc
Mt Vernon, NY 10552-3018
Phone
(914) 664-2571
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Esther Elstein
Title
President
Phone
(914) 664-2571

Specialties & licenses 1

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

Addresses

Primary practice location

23 Kenyan Place
Craftform Inc
Mt Vernon, NY 10552-3018

Mailing address

23 Kenyan Place
Mt Vernon, NY 10552
Phone (914) 664-2571

Other identifiers 1

IdentifierTypeStateIssuer
00527179MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1710105325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KENYAN PLACE",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "914-664-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KENYAN PLACE",
            "address_2": "CRAFTFORM INC",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105523018",
            "telephone_number": "914-664-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAFTFORM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "ELSTEIN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-664-2571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00527179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.