Advant Orthocare

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2019021 Issued in NY

Legal business name

ADVANT ORTHOCARE

Practice address

5847 Francis Lewis Blvd
Suite 17
Oakland Gardens, NY 11364-1698

Phone

(718) 428-4600

Fax

(718) 428-4611

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Igal Ilyas

Title

President

Phone

(718) 428-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1710360201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 17",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641698",
            "telephone_number": "718-428-4600",
            "fax_number": "718-428-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 17",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641698",
            "telephone_number": "718-428-4600",
            "fax_number": "718-428-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANT ORTHOCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "IGAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-428-4600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2019021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Oakland Gardens, NY
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.