Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN JAVAKHISHVILI
Active Sole ProprietorIVAN JAVAKHISHVILI is a Customized Equipment (DME) healthcare provider located in BROOKLYN, New York. NPI 1902690209 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · BROOKLYN, NY
Registration Details
- NPI Number
- 1902690209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2025 (1.374154480149 yrs)
- Last Updated
- Apr 9, 2025
- License
-
2106612-DCA (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2955 NOSTRAND AVEBROOKLYN, NY, 112291873Browse NY providers · Browse ZIP 11229
- Phone
- 9178332391
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Other Customized Equipment (DME) Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JUMOL O'CONNOR | CFO, RN | 1447483649 |
| ASHER MITTELDORF | MBA, ATP | 1992177539 |
| MRS. OLGA GINDINOVA | — | 1265916480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.