Ortho Med Spa Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHO MED SPA INC

Practice address

729 Elmont Rd
Elmont, NY 11003-4035

Phone

(516) 699-3030

Fax

(516) 699-3032

NPI assigned

Feb 3, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Sason Haimov FuzailovNPI 1801643341

Title

President

Phone

(917) 615-3322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

Practitioners 1

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

• Sason Haimov Fuzailov

  • Durable Medical Equipment & Medical Supplies
  • Elmont, NY
  • NPI 1801643341
  NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1730993627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034035",
            "telephone_number": "516-699-3030",
            "fax_number": "516-699-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034035",
            "telephone_number": "516-699-3030",
            "fax_number": "516-699-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO MED SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HAIMOV FUZAILOV",
        "authorized_official_first_name": "SASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-615-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Olufolakemi Olufawo, RN
• Frieda Roseanna Omezi, LMSW
• Adesuwa Elizabeth Omoragbon, RN
• Jeffrey Matthew Onda
• Katelyn Tara Orlando, RD
• Ortho-Med Equip
• Orthowellness, Inc
• Anissa Oudkerk, LCSW
• Dorcas Olayemi Oyebanji, RN
• Cristina Pacheco, BCBA

• Durable Medical Equipment & Medical Supplies in Elmont, NY
• Providers in Elmont, NY by specialty
• 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 Feb 20, 2025; 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.