Active NPI
Jr Sporting Goods Inc
- Durable Medical Equipment & Medical Supplies
- Floral Park, NY
National Provider Identifier
1831046119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JR SPORTING GOODS INC
- Practice address
- 24736 Jericho Tpke
Floral Park, NY 11001-4001 - Phone
- (818) 659-0376
- NPI assigned
- Mar 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sanjeev Kumar Rahull
- Title
- Authorized Official
- Phone
- (818) 659-0376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
24736 Jericho Tpke
Floral Park, NY 11001-4001
Mailing address
24736 Jericho Tpke
Floral Park, NY 11001-4001
Other practice location 1
600 S Curson Ave
Los Angeles, CA 90036-3666
Phone (786) 827-0942
National Provider Directory
National Provider DirectoryLocations
24736 Jericho Tpke
Floral Park, NY 11001
Phone (818) 659-0376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780185600000",
"number": "1831046119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24736 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110014001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24736 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110014001",
"telephone_number": "818-659-0376"
}
],
"practiceLocations": [
{
"address_1": "600 S Curson Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900363666",
"country_code": "US",
"telephone_number": "786-827-0942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JR SPORTING GOODS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-14",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A",
"authorized_official_last_name": "RAHULL",
"authorized_official_first_name": "SANJEEV KUMAR",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "818-659-0376",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.