NPIMap

Organization Active NPI

Avanti Footwear

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1801160320
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
L12000024926 Issued in FL
Legal business name
AVANTI FOOTWEAR
Practice address
2626 NE 2ND Ave
Miami, FL 33137-4415
Phone
(877) 391-2753
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mr. Shmuel BogomilskyNPI 1578011391
Title
President
Phone
(877) 391-2753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X L12000024926 FL Primary

Addresses

Primary practice location

2626 NE 2ND Ave
Miami, FL 33137-4415

Mailing address

4535 Post Ave
Miami, FL 33140-3035
Phone (877) 391-2753

National Provider Directory

National Provider Directory

Locations

2626 NE 2nd Ave
Miami, FL 33137
Phone (877) 391-2753

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1801160320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 POST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403035",
            "telephone_number": "877-391-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374415",
            "telephone_number": "877-391-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI FOOTWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-391-2753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "L12000024926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.