RESTORE USA, INC. (NPI# 1518026772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518026772 |
| Entity Type | Organization |
| Organization Name | RESTORE USA, INC. |
| Practice Address |
4626 New Utrecht Ave Brooklyn NY 11219-2553 |
| Mailing Address |
338a E 7th St Apt A Brooklyn NY 11218-4106 |
| Practice Telephone | 7188604637 |
| Practice Fax Number | 7184341617 |
| Mailing Telephone | 9176858171 |
| Mailing Fax Number | 7184341617 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-10-19 |
| Authorized Official Name | KEITH FREER (OWNER) |
| Authorized Official Telephone | 7188604637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02812031 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RESTORE USA, INC. | 338a East 7th St, Brooklyn, Ny 11218 |
| Street Address |
4626 NEW UTRECHT AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174603450 | Best Health Surgical Inc | Durable Medical Equipment & Medical Supplies | 4626 New Utrecht Ave, Brooklyn, NY 11219-2537 | 2006-10-17 |
| 1720568983 | B-well Home Care Agency Inc. | Home Health Aide | 4626 New Utrecht Ave, Brooklyn, NY 11219-2553 | 2018-08-17 |
| 1396280715 | Crown of Life Ny LLC | Home Health | 4626 New Utrecht Ave, Brooklyn, NY 11219-2553 | 2016-12-20 |
| 1821281718 | Crowne of Life Care, Inc. | Nursing Care | 4626 New Utrecht Ave, Brooklyn, NY 11219-2553 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275354 | Chanta Mabry | Prosthetic/Orthotic Supplier | 1787 Fulton St, Brooklyn, NY 11233-3029 | 2019-09-30 |
| 1740789544 | Modern Medical Supply Inc | Prosthetic/Orthotic Supplier | 4403 8th Ave, Brooklyn, NY 11220-1513 | 2018-02-07 |
| 1780102657 | Osy Inc | Prosthetic/Orthotic Supplier | 4424 16th Ave Fl 3, Brooklyn, NY 11204-1012 | 2017-08-31 |
| 1316486483 | Aaa Insoles Inc | Prosthetic/Orthotic Supplier | 2805 E 26th St, Suite 3c, Brooklyn, NY 11235-2747 | 2017-02-21 |
| 1194182840 | Lcs Prosthetics | Prosthetic/Orthotic Supplier | 4714 Fort Hamilton Pkwy, Brooklyn, NY 11219-2926 | 2016-01-26 |
| 1508121393 | Bd O & P Inc. | Prosthetic/Orthotic Supplier | 1310 Coney Island Ave, Brooklyn, NY 11230-3521 | 2012-07-09 |
| 1568747178 | Healquest Inc | Prosthetic/Orthotic Supplier | 2455 Mcdonald Ave, Unit I, Brooklyn, NY 11223-5232 | 2011-10-14 |
| 1205127909 | Modaitalianashoesinc. | Prosthetic/Orthotic Supplier | 112avenue.u, Brooklyn, NY 11223 | 2011-04-28 |
| 1801192729 | Irene's Wigs Studio | Prosthetic/Orthotic Supplier | 1323 46th St, Level-c (basement), Brooklyn, NY 11219-2165 | 2011-02-10 |
| 1780814418 | Iwig Inc. | Prosthetic/Orthotic Supplier | 1450 40th St, Brooklyn, NY 11218-3510 | 2009-07-15 |
| 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.