Smile Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SMILE MEDICAL SUPPLY INC

Doing business as

Smile Medical Supply Inc

Practice address

1344 Saint Nicholas Ave Apt 1
New York, NY 10033-7254

Phone

(929) 251-8000

Fax

(929) 251-7000

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Gavrilov

Title

President

Phone

(929) 251-8000

Specialties & licenses 1

Addresses

Other names 1

• Smile Medical Supply Inc Doing business as

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1992419857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 SAINT NICHOLAS AVE APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337254",
            "telephone_number": "929-251-8000",
            "fax_number": "929-251-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 SAINT NICHOLAS AVE APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337254",
            "telephone_number": "929-251-8000",
            "fax_number": "929-251-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Saint Nicholas Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100337254",
            "country_code": "US",
            "telephone_number": "929-251-8000",
            "fax_number": "929-251-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "GAVRILOV",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-251-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Medical Supply Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in New York, NY
• Providers in New York, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.