Ez Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EZ MEDICAL SUPPLY LLC

Practice address

4014 Chase Ave Ste 219
Miami Beach, FL 33140-3446

Phone

(786) 275-6301

Fax

(877) 391-2770

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Shmuel BogomilskyNPI 1578011391

Title

Owner

Phone

(786) 275-6301

Specialties & licenses 1

Addresses

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shmuel Bogomilsky

  • Prosthetic/Orthotic Supplier
  • Miami Beach, FL
  • NPI 1578011391
  NPD (past) Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730618828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CHASE AVE STE 219",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403446",
            "telephone_number": "786-275-6301",
            "fax_number": "877-391-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CHASE AVE STE 219",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403446",
            "telephone_number": "786-275-6301",
            "fax_number": "877-391-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-275-6301"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• 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.
• 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.