Elite Solutions Enterprise Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE SOLUTIONS ENTERPRISE CORP

Practice address

12428 Queens Blvd Apt 3a
Kew Gardens, NY 11415-2796

Phone

(917) 915-5199

NPI assigned

Jun 2, 2026

Organization subpart

No

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

Authorized official

Name

Sergey Yakubov

Title

President

Phone

(917) 915-5199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1770415820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 QUEENS BLVD APT 3A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152796",
            "telephone_number": "917-915-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 QUEENS BLVD APT 3A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152796",
            "telephone_number": "917-915-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SOLUTIONS ENTERPRISE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-915-5199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Kew Gardens, NY
• Providers in Kew Gardens, 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 Jun 2, 2026; 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.