Organization Active NPI

Jr Sporting Goods Inc

  • Durable Medical Equipment & Medical Supplies
  • Floral Park, NY
National Provider Identifier
1831046119
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 31, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.