CROWN CITY DME, LLC (NPI# 1023629359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023629359 |
| Entity Type | Organization |
| Organization Name | CROWN CITY DME, LLC |
| Practice Address |
10121 Nicolls Ave Corona NY 11368-2818 |
| Practice Telephone | 7187957656 |
| Mailing Telephone | 7187957656 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | CHRISTIAN ROGERIO MERO (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 7187957656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Crown City DME, LLC | Doing Business As Name - Organization |
| Street Address |
10121 NICOLLS AVE |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692439 | A.c. Adderson Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1267 Enterprise Ct, Corona, CA 92882-7126 | 2015-02-20 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1376889931 | Best Five Star Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10308 Roosevelt Ave Fl 1, Corona, NY 11368-2330 | 2012-12-28 |
| 1457680282 | Terry Dust | Durable Medical Equipment & Medical Supplies | 8464 Renwick Dr, Corona, CA 92883-5699 | 2009-12-07 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1144479700 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 11800 De Palma Rd, Corona, CA 92883-8498 | 2008-09-18 |
| 1306024211 | Howard Diamond Dpm | Durable Medical Equipment & Medical Supplies | 5210 108th St, Corona, NY 11368-3344 | 2008-02-01 |
| 1306029400 | Gdi Medical Equipment & Supplies Inc. | Durable Medical Equipment & Medical Supplies | 541 N Main St Ste 102, Corona, CA 92880-2056 | 2007-12-11 |
| 1053527994 | Comfort Concepts, LLC | Durable Medical Equipment & Medical Supplies | 1344 W 6th St, Ste. 203, Corona, CA 92882-3197 | 2007-05-15 |
| 1962622712 | Alma Medical Supplies and Distributors Corporation | Durable Medical Equipment & Medical Supplies | 1490 W Rincon St, Suite E, Corona, CA 92880-9200 | 2007-04-26 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.