Active NPI
CPM Med Supply Inc
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1881026326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CPM MED SUPPLY INC
- Practice address
- 2416 65TH St
Brooklyn, NY 11204-4136 - Phone
- (973) 850-3121
- Fax
- (973) 846-7077
- NPI assigned
- Aug 7, 2013
- Organization subpart
- Yes
- Parent organization
- CPM MED SUPPLY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamerlan Iffraimov
- Title
- President
- Phone
- (718) 878-5552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2416 65TH St
Brooklyn, NY 11204-4136
Mailing address
2416 65TH St
Brooklyn, NY 11204-4136
Phone (973) 850-3121
Other names 1
- CityDME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210324002414 | NY | DME Supplier - Medical Supply Company With Orthotic Personnel | 0042627721 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CPM Med Supply Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Sup… | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- CPM Med Supply Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1881026326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 65TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044136",
"telephone_number": "973-850-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 65TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044136",
"telephone_number": "973-850-3121",
"fax_number": "973-846-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPM MED SUPPLY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CPM MED SUPPLY INC",
"enumeration_date": "2013-08-07",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "IFFRAIMOV",
"authorized_official_first_name": "TAMERLAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-878-5552"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CityDME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.