Organization Active NPI

Platinum Supply Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1770419947
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PLATINUM SUPPLY GROUP INC
Practice address
9305 Ashton Rd Apt C8
Philadelphia, PA 19114-3448
Phone
(301) 293-8929
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Mirzaev Eldorbek
Title
Founder
Phone
(301) 293-8929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9305 Ashton Rd Apt C8
Philadelphia, PA 19114-3448

Mailing address

9305 Ashton Rd Apt C8
Philadelphia, PA 19114-3448
Phone (301) 293-8929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1770419947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 ASHTON RD APT C8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143448",
            "telephone_number": "301-293-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 ASHTON RD APT C8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143448",
            "telephone_number": "301-293-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SUPPLY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "ELDORBEK",
        "authorized_official_first_name": "MIRZAEV",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-293-8929"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.