Individual provider Active NPI

Shmuel Baturov

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1902305022
Registry record updated Feb 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2060600-DCA Issued in NY
Practice address
55 W 47TH St Ste 430
New York, NY 10036-2852
Phone
(929) 278-3469
Fax
(212) 278-8226
NPI assigned
Feb 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2060600-DCA NY Primary

Addresses

Primary practice location

55 W 47TH St Ste 430
New York, NY 10036-2852

Mailing address

55 W 47TH St Ste 430
New York, NY 10036-2852
Phone (929) 278-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2060600-DCANYMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517702400000",
    "number": "1902305022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 47TH ST STE 430",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362852",
            "telephone_number": "929-278-3469",
            "fax_number": "212-278-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 47TH ST STE 430",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362852",
            "telephone_number": "929-278-3469",
            "fax_number": "212-278-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATUROV",
        "first_name": "SHMUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "2060600-DCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; 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.