Organization Active NPI

Akiva Ortho Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1790494532
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AKIVA ORTHO SUPPLY LLC
Practice address
584 Mayfair Dr S Apt 2
Brooklyn, NY 11234-6413
Phone
(929) 842-7565
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Volodymyr Reshylov
Title
Owner
Phone
(929) 842-7565

Specialties & licenses 1

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

Addresses

Primary practice location

584 Mayfair Dr S Apt 2
Brooklyn, NY 11234-6413

Mailing address

584 Mayfair Dr S Apt 2
Brooklyn, NY 11234-6413
Phone (929) 842-7565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1790494532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 MAYFAIR DR S APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346413",
            "telephone_number": "929-842-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 MAYFAIR DR S APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346413",
            "telephone_number": "929-842-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKIVA ORTHO SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "RESHYLOV",
        "authorized_official_first_name": "VOLODYMYR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-842-7565"
    },
    "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 Nov 21, 2022; 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.