Organization Active NPI

Lisan Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1891713277
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0984160 Issued in NY
Legal business name
LISAN MEDICAL SUPPLIES, INC
Practice address
253 36TH St
Suite 1-10
Brooklyn, NY 11232-2546
Phone
(718) 530-1450
Fax
(718) 280-1333
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Liliya Sankina
Title
President
Phone
(718) 530-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0984160 NY Primary

Addresses

Primary practice location

253 36TH St
Suite 1-10
Brooklyn, NY 11232-2546

Mailing address

253 36TH St
Suite 1-10
Brooklyn, NY 11232-2546
Phone (718) 530-1450

Other identifiers 1

IdentifierTypeStateIssuer
2001294-DCAOtherNYNYC DEPARTMENT OF CONSUMER AFFAIRS

National Provider Directory

National Provider Directory

Locations

253 36th St
Ste 110
Brooklyn, NY 11232
Phone (718) 530-1450

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1891713277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 36TH ST",
            "address_2": "SUITE 1-10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322546",
            "telephone_number": "718-530-1450",
            "fax_number": "718-280-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 36TH ST",
            "address_2": "SUITE 1-10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322546",
            "telephone_number": "718-530-1450",
            "fax_number": "718-280-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISAN MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SANKINA",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-530-1450"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0984160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYC DEPARTMENT OF CONSUMER AFFAIRS",
            "identifier": "2001294-DCA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 4, 2014; 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.