EDWIN DHALL (NPI# 1760802490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760802490 |
| Entity Type | Individual |
| Full Name | EDWIN DHALL |
| Practice Address |
712 Broadway Brentwood NY 11717-6922 |
| Practice Telephone | 6314568854 |
| Practice Fax Number | 6315614245 |
| Mailing Telephone | 6314568854 |
| Mailing Fax Number | 6315614245 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
C13-26498 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HMO | 352479821 | 01 |
| Street Address |
712 BROADWAY |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992125512 | Top Choice Medical Supplies | Durable Medical Equipment & Medical Supplies | 712 Broadway, Brentwood, NY 11717-6922 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508269648 | Tennessee Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 1607 Westgate Cir, Ste 400, Brentwood, TN 37027-8080 | 2014-10-03 |
| 1275936312 | Tennessee Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 330 Franklin Rd, Ste 230, Brentwood, TN 37027-3210 | 2014-10-03 |
| 1992125512 | Top Choice Medical Supplies | Durable Medical Equipment & Medical Supplies | 712 Broadway, Brentwood, NY 11717-6922 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909988 | Hair By Lady Sha LLC | Durable Medical Equipment & Medical Supplies | 395 E 3rd St, Mount Vernon, NY 10553-5124 | 2020-10-12 |
| 1104423714 | Hair By Shay Bonnie | Durable Medical Equipment & Medical Supplies | 15 William St # C, Central Islip, NY 11722-2404 | 2020-10-06 |
| 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 |
| 1851904718 | Caremax Dme, Inc. | Durable Medical Equipment & Medical Supplies | 22003 Jamaica Ave Lowr Level, Jamaica, NY 11428-2140 | 2020-08-28 |
| 1821601782 | Healthdepot Dme, Inc. | Durable Medical Equipment & Medical Supplies | 7001 Metropolitan Ave Lowr Level, Middle Village, NY 11379-2191 | 2020-08-28 |
| 1649882895 | Daniel Akilov | Durable Medical Equipment & Medical Supplies | 8022 210th St, Queens Village, NY 11427-1011 | 2020-08-19 |
| 1487271722 | Larry Kleinstein | Durable Medical Equipment & Medical Supplies | 437 W 44th St Apt 2re, New York, NY 10036-4443 | 2020-07-02 |
| 1023630126 | Ocean Wave Sleep and Snore Solutions LLC | Durable Medical Equipment & Medical Supplies | 3377 Long Beach Rd Ste C, Oceanside, NY 11572-5063 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.