Woodhull Medical Supplies Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

WOODHULL MEDICAL SUPPLIES INC.

Practice address

57 East 124TH Street
New York, NY 10035-1815

Phone

(212) 410-8483

Fax

(212) 410-8485

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Ulyana Julie Shadrin, CPED

Title

Owner

Phone

(718) 599-6700

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1992743389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267B HERITAGE HLS",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891227",
            "telephone_number": "917-324-3032",
            "fax_number": "718-599-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EAST 124TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351815",
            "telephone_number": "212-410-8483",
            "fax_number": "212-410-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SHADRIN",
        "authorized_official_first_name": "ULYANA",
        "authorized_official_middle_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-599-6700",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wooden, MD
• Misha Wooden
• Elizabeth Thatcher Woodford, ANP-BC
• Gabriel Woodhouse, CASAC
• Woodhull Medical Center
• Kasey Christina Woodin
• Stacie Woodland, LCSW
• Ashanta Woodley
• Rasheed Einstein Woodley, MD
• David Woodlock, MB BCH BAO

• Customized Equipment (DME) in New York, NY
• Providers in New York, 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 Mar 24, 2022; 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.