Icare Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1191657 Issued in NY

Legal business name

ICARE MEDICAL SUPPLY INC

Practice address

2215 Avenue X
Brooklyn, NY 11235-2507

Phone

(516) 902-9552

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Asaf Yevdayev, CERTIFIED FITTER

Title

Owner

Phone

(516) 902-9552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1740446913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352507",
            "telephone_number": "516-902-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352507",
            "telephone_number": "516-902-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "YEVDAYEV",
        "authorized_official_first_name": "ASAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-902-9552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED FITTER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1191657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 6, 2008; 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.