ADVENTURE MEDICAL SUPPLY LLC (NPI# 1699147546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699147546 |
| Entity Type | Organization |
| Organization Name | ADVENTURE MEDICAL SUPPLY LLC |
| Practice Address |
3507 Ave S Ground Floor Brooklyn NY 11234-3454 |
| Mailing Address |
3507 Ave S Brooklyn NY 11234-3454 |
| Practice Telephone | 7185646225 |
| Practice Fax Number | 7185646226 |
| Mailing Telephone | (718) 564-6225 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2017-06-20 |
| Authorized Official Name | ASHER TSVI MITTELDORF (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7185646225 |
| Authorized Official Credential | MBA, ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVENTURE MEDICAL SUPPLY LLC | 3507 Avenue S, Brookyln, Ny 11234 |
| Street Address |
3507 AVE S GROUND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177539 | Asher Mitteldorf | Durable Medical Equipment & Medical Supplies | 3507 Ave S, Brooklyn, NY 11234 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817976 | Complete Ortho Supply Inc. | Durable Medical Equipment & Medical Supplies | 1701 Avenue P Ste M, Brooklyn, NY 11229-1205 | 2020-10-04 |
| 1891301412 | Nf Med Supplies Corp | Durable Medical Equipment & Medical Supplies | 29 Montrose Ave Apt 2b, Brooklyn, NY 11206-2499 | 2020-09-18 |
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1730578618 | Mom and Dad Orthopedics Supplies Inc | Durable Medical Equipment & Medical Supplies | 91 4th Ave, First Floor, Brooklyn, NY 11217-2783 | 2015-01-15 |
| 1255761318 | American Kinetics Lab | Durable Medical Equipment & Medical Supplies | 87 4th Ave, Brooklyn, NY 11217-2703 | 2013-11-26 |
| 1376885129 | Ba2ro Inc | Durable Medical Equipment & Medical Supplies | 8006 20th Ave, Brooklyn, NY 11214 | 2013-03-20 |
| 1033463781 | Advanced Recovery Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 1501 Newkirk Ave, Suite 585, Brooklyn, NY 11226-6595 | 2012-11-02 |
| 1730485079 | European Custom Hair Pieces | Durable Medical Equipment & Medical Supplies | 1884 Coney Island Ave, Brooklyn, NY 11230-6513 | 2011-02-03 |
| 1639487093 | Absolute Foot Care PC | Durable Medical Equipment & Medical Supplies | 375 Jay St, 2nd Floor, Brooklyn, NY 11201-3847 | 2010-09-20 |
| 1447483649 | Jumol O'connor | Durable Medical Equipment & Medical Supplies | 692 E New York Ave, Brooklyn, NY 11203-1202 | 2009-09-03 |
| 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.