Organization Active NPI

CPM Med Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1881026326
Registry record updated Sep 16, 2024
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324002414 NY DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 0042627721 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
CPM Med Supply Inc2416 65TH St, Brooklyn, NY 11204-4136(973) 850-3121 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 assignmentParticipating since Mar 1, 2021

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.

Verify at the official NPI Registry.