Ivan Javakhishvili

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

2106612-DCA Issued in NY

Practice address

2955 Nostrand Ave
Brooklyn, NY 11229-1873

Phone

(917) 833-2391

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1902690209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291873",
            "telephone_number": "917-833-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291873",
            "telephone_number": "917-833-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAKHISHVILI",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "2106612-DCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marije Jauregui
• Pasha Javaheri Saatchi, D.M.D
• Shazia Javaid
• Umer Javaid
• Zaib Javaid, M.S., CCC-SLP
• Yelena Javakhishvili
• Jave Pharmacy Inc
• Madiha Javed, M.D.
• Mina Javed
• Rabiya Javed

• Customized Equipment (DME) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.