Sky Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1241076 Issued in NY

Legal business name

SKY MEDICAL SUPPLY, INC.

Practice address

505 Dubois Ave
Valley Stream, NY 11581-3350

Phone

(516) 374-3888

Fax

(516) 374-3885

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edi Kalontarov

Title

President

Phone

(516) 374-3888

Specialties & licenses 1

Addresses

Other names 1

• SKY MEDICAL SUPPLY, INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1821131541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DUBOIS AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813350",
            "telephone_number": "516-374-3888",
            "fax_number": "516-374-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DUBOIS AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813350",
            "telephone_number": "516-374-3888",
            "fax_number": "516-374-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 DuBois Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115813350",
            "country_code": "US",
            "telephone_number": "516-374-3888",
            "fax_number": "516-374-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6827 78th St",
            "address_purpose": "LOCATION",
            "city": "Middle Village",
            "state": "NY",
            "postal_code": "113792858",
            "country_code": "US",
            "telephone_number": "718-326-3888",
            "fax_number": "718-326-3558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 DuBois Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115813350",
            "country_code": "US",
            "telephone_number": "516-374-3888",
            "fax_number": "516-374-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KALONTAROV",
        "authorized_official_first_name": "EDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-3888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1241076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKY MEDICAL SUPPLY, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.