Active NPI
Heal It Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Floral Park, NY
National Provider Identifier
1992305809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEAL IT MEDICAL SUPPLY INC
- Practice address
- 360Aa Jericho Tpke
Floral Park, NY 11001-2235 - Phone
- (516) 437-1948
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roman Pinhasov
- Title
- Owner
- Phone
- (516) 437-1948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
360Aa Jericho Tpke
Floral Park, NY 11001-2235
Mailing address
360Aa Jericho Tpke
Floral Park, NY 11001-2235
Phone (516) 437-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220312000089 | NY | DME Supplier - Medical Supply Company | 8527453489 | Practice locations: Floral Park, NY |
National Provider Directory
National Provider DirectoryLocations
360AA Jericho Tpke
Floral Park, NY 11001
Phone (516) 437-1948
266 Jericho Tpke
Ste 111
Floral Park, NY 11001
362 Jericho Tpke
#A
Floral Park, NY 11001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1992305809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360AA JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012235",
"telephone_number": "516-437-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360AA JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012235",
"telephone_number": "516-437-1948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL IT MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "PINHASOV",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-437-1948"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.