Organization Active NPI

Korovak Medical Supplies Corp

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1770480410
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOROVAK MEDICAL SUPPLIES CORP
Practice address
1654 E 13TH St Apt 1D
Brooklyn, NY 11229-1128
Phone
(347) 969-0770
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Irakli Kebadze
Title
Owner
Phone
(347) 969-0770

Specialties & licenses 1

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

Addresses

Primary practice location

1654 E 13TH St Apt 1D
Brooklyn, NY 11229-1128

Mailing address

1654 E 13TH St Apt 1D
Brooklyn, NY 11229-1128
Phone (347) 969-0770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1770480410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 E 13TH ST APT 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291128",
            "telephone_number": "347-969-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 E 13TH ST APT 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291128",
            "telephone_number": "347-969-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOROVAK MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-25",
        "status": "A",
        "authorized_official_last_name": "KEBADZE",
        "authorized_official_first_name": "IRAKLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-969-0770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.