Active NPI
Nexivanta Supplies LLC
- Urgent Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1720985070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- NEXIVANTA SUPPLIES LLC
- Practice address
- 1394 Madison St # 2
Brooklyn, NY 11237-5909 - Phone
- (785) 203-0395
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jaime a Hargrove
- Title
- Owner
- Phone
- (785) 203-0395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1394 Madison St # 2
Brooklyn, NY 11237-5909
Mailing address
1394 Madison St # 2
Brooklyn, NY 11237-5909
Phone (785) 203-0395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1720985070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 MADISON ST # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375909",
"telephone_number": "785-203-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1394 MADISON ST # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375909",
"telephone_number": "785-203-0395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXIVANTA SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "HARGROVE",
"authorized_official_first_name": "JAIME A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-203-0395",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Nightgale McArthur Newton
- Tenessa Latoya Newton, PA
- Newyork-Presbyterian / Brooklyn Methodist (NewYork-Presbyterian Brooklyn Methodist Hospital Center for Community)
- Newyork-Presbyterian Brooklyn/Methodist Hospital
- Newyork-Presbyterian/Brooklyn Methodist
- Nexora Supply Group Inc
- Next Care Family Health NP, PLLC
- Next Door Medical, PC
- Next Genn Solutions LLC
- Next Step Applied Behavior Analysis PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.