MEDICOM LLC (NPI# 1891820502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891820502 |
| Entity Type | Organization |
| Organization Name | MEDICOM LLC |
| Practice Address |
1122 Coney Island Ave 201 Brooklyn NY 11230-2345 |
| Mailing Address |
1122 Coney Island Ave Brooklyn NY 11230-2345 |
| Practice Telephone | 7188593600 |
| Practice Fax Number | 7188593700 |
| Mailing Telephone | 7188593600 |
| Mailing Fax Number | 7188593700 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ZACK MERMELSTEIN (COO) |
| Authorized Official Telephone | 7188593600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849867 | Medicom LLC | Nurse Practitioner | 137 S Main St, Arab, AL 35016-1354 | 2006-12-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MEDICOM LLC | 1090 Coney Island Avenue, Brooklyn, Ny 11230 |
| Street Address |
1122 CONEY ISLAND AVE 201 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205840295 | Neomy Medical, PC | Clinic/Center | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2006-07-28 |
| 1467923433 | Knickerbocker Dialysis Inc | Clinic/Center | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2018-12-17 |
| 1134578966 | Quality Care Physical Therapy Rehab PC | Physical Therapist | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2016-06-13 |
| 1215386214 | Michael Goynatsky | Physical Therapist | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2016-06-09 |
| 1629449905 | Dependable Care LLC | Home Health | 1122 Coney Island Ave, Suite 205, Brooklyn, NY 11230-2345 | 2015-10-13 |
| 1538584347 | Health Medical Associates PC | Radiology | 1122 Coney Island Ave, Suite 220, Brooklyn, NY 11230-2345 | 2014-03-03 |
| 1417223199 | Rdb Medical PC | Podiatrist | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2012-03-28 |
| 1174895429 | Midwood General and Physical Medicine, P.C. | Physical Medicine & Rehabilitation | 1122 Coney Island Ave, Suite 205, Brooklyn, NY 11230-2345 | 2012-02-02 |
| 1144598590 | Ronald Deutsen Dds PC | Dentist | 1122 Coney Island Ave, Brooklyn, NY 11230 | 2011-12-13 |
| 1992081558 | Happy Happy At Home | Custodial Care Facility | 1122 Coney Island Ave, Brooklyn, NY 11230-2345 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| 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 |
|---|---|---|---|---|
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| 1326654054 | Expandrx Inc | Durable Medical Equipment & Medical Supplies | 2610 Atlantic Ave, Brooklyn, NY 11207-2415 | 2020-09-17 |
| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1114538485 | Ely Niyazov | Durable Medical Equipment & Medical Supplies | 2744 E 64th St, Brooklyn, NY 11234-6822 | 2020-08-11 |
| 1750991337 | Orthotix Inc | Durable Medical Equipment & Medical Supplies | 5711 12th Ave, Brooklyn, NY 11219-4512 | 2020-08-07 |
| 1437768223 | Mermaid Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2724 Mermaid Ave, Brooklyn, NY 11224-2006 | 2020-07-28 |
| 1720605827 | Healthics Inc | Durable Medical Equipment & Medical Supplies | 2367 E 14th St Unit 2, Brooklyn, NY 11229-4307 | 2020-07-06 |
| 1366068496 | Berry Medics Ny | Durable Medical Equipment & Medical Supplies | 84 Broadway Ste 4, Brooklyn, NY 11249-6169 | 2020-06-24 |
| Find all providers in BROOKLYN | ||||
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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.