Sunshine Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUNSHINE MEDICAL SUPPLY INC

Practice address

2015 College Point Blvd
College Point, NY 11356

Phone

(917) 908-0123

Fax

(917) 908-0125

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Arthur Jakubov

Title

Owner

Phone

(347) 968-9411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1811467095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562222",
            "telephone_number": "917-908-0123",
            "fax_number": "917-908-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "11356",
            "telephone_number": "917-908-0123",
            "fax_number": "917-908-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 NE Van Loon Ln Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092537",
            "country_code": "US",
            "telephone_number": "305-748-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 College Point Blvd",
            "address_purpose": "LOCATION",
            "city": "College Point",
            "state": "NY",
            "postal_code": "11356",
            "country_code": "US",
            "telephone_number": "917-908-0123",
            "fax_number": "917-908-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "JAKUBOV",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-968-9411"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.