BORIS SHALOMOV (NPI# 1285715565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285715565 |
| Entity Type | Individual |
| Full Name | BORIS SHALOMOV |
| Credential | CPED |
| Practice Address |
90-31 Sutphin Blvd Jamaica NY 11425-0001 |
| Mailing Address |
1201 Pennsylvania Ave Apt 4b Brooklyn NY 11239-1209 |
| Practice Telephone | 7182914692 |
| Mailing Telephone | 9176400012 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
90-31 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982148094 | Michael Shepherd | Social Worker | 179-00 Linden Blvd. Bldg 91 Rm E241, St. Albans E.c.c./dept. of Va, St. Albans, NY 11425 | 2016-12-08 |
| 1629307905 | Mary E Koyl | Social Worker | 179th St and Linden Blvd, St Albans, NY 11425 | 2009-12-15 |
| 1730339805 | Ashleigh Pegg | Contractor | 179th St & Linden Blvd, St. Albans, NY 11425 | 2008-09-25 |
| 1083875470 | Sylvia Myers | Registered Nurse | 179 St. Linden Bivd., St. Albans, NY 11425 | 2008-06-19 |
| 1801074364 | Georgia Mae Dingle | Rehabilitation Counselor | 179 Street Linden Blvd, St. Albans, NY 11425 | 2008-02-07 |
| 1265584114 | Juanita Delgado | Occupational Therapy Assistant | 179 St. Linden Blvd., St.albans, NY 11425 | 2007-01-18 |
| 1063506509 | Phyllis A Filgate | Dietitian, Registered | 179th Street & Linden Blvd, St. Albans, NY 11425 | 2006-10-02 |
| 1982700233 | Simion Zelicof | Dermatology | 179--00 Linden Blvd, Jamaica, NY 11425 | 2006-09-15 |
| 1801823034 | Elizabeth Anne Cancellara | Social Worker | 179th Street Linden Blvd, St. Albans, NY 11425 | 2006-06-26 |
| 1366491037 | Sonsare Gurley | Physician Assistant | 179-01 Linden Blvd, Ny, NY 11425 | 2006-05-09 |
| Find all providers in zip 11425 | ||||
| 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 |
|---|---|---|---|---|
| 1710585559 | Quality Med Equp Inc | Durable Medical Equipment & Medical Supplies | 18742a Hillside Ave, Jamaica, NY 11432-3217 | 2020-10-14 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1073156436 | Star Dme Inc | Durable Medical Equipment & Medical Supplies | 141-04 Rockaway Blvd, Ste 1f, Jamaica, NY 11436 | 2019-10-17 |
| 1407315955 | A&a Rockaway Inc. | Durable Medical Equipment & Medical Supplies | 14104 Rockaway Blvd Ste 1f, Jamaica, NY 11436-1440 | 2019-03-14 |
| 1023591443 | Academy Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 13149 234th St, Jamaica, NY 11422-1311 | 2018-09-11 |
| 1053800037 | Mount Sinai Medical Supply 2 Inc | Durable Medical Equipment & Medical Supplies | 8010 162nd St, Jamaica, NY 11432-1113 | 2018-05-06 |
| 1255838249 | All Green Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 16829 Hillside Ave Fl 2, Jamaica, NY 11432-4440 | 2018-04-06 |
| 1487161188 | Jam Pharmacy Corp | Durable Medical Equipment & Medical Supplies | 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 | 2018-01-03 |
| 1750703773 | Actioncare Medical Supply | Durable Medical Equipment & Medical Supplies | 10924 176th St, Jamaica, NY 11433-2612 | 2014-01-09 |
| 1639590839 | Triumph Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11112 Sutphin Blvd # 2, Jamaica, NY 11435-5829 | 2013-12-15 |
| Find all providers in JAMAICA | ||||
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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.