Proactive Med Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROACTIVE MED INC

Practice address

8328 Parsons Blvd
Jamaica, NY 11432-1642

Phone

(516) 453-0600

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Anastasia Malaydakh

Title

Owner

Phone

(347) 406-5207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1851989461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321642",
            "telephone_number": "516-453-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "MALAYDAKH",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-406-5207"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Jamaica, NY
• Providers in Jamaica, 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 Jan 8, 2021; 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.