Organization Active NPI

Wentworth Materials Inc

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1962311209
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WENTWORTH MATERIALS INC
Practice address
749 E 135TH St Ste 206
Bronx, NY 10454-3408
Phone
(929) 839-6062
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Fedor Zadarenok
Title
Owner
Phone
(929) 839-6062

Specialties & licenses 1

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

Addresses

Primary practice location

749 E 135TH St Ste 206
Bronx, NY 10454-3408

Mailing address

749 E 135TH St Ste 206
Bronx, NY 10454-3408
Phone (929) 839-6062

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1962311209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 E 135TH ST STE 206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543408",
            "telephone_number": "929-839-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 E 135TH ST STE 206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543408",
            "telephone_number": "929-839-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH MATERIALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "ZADARENOK",
        "authorized_official_first_name": "FEDOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-839-6062"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.