Provider Demographics
NPI:1235241019
Name:DIAPULSE CORPORATION OF AMERICA
Entity Type:Organization
Organization Name:DIAPULSE CORPORATION OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-466-3030
Mailing Address - Street 1:475 NORTHERN BLVD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4802
Mailing Address - Country:US
Mailing Address - Phone:516-466-3030
Mailing Address - Fax:516-829-8069
Practice Address - Street 1:475 NORTHERN BLVD
Practice Address - Street 2:SUITE 33
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4802
Practice Address - Country:US
Practice Address - Phone:516-466-3030
Practice Address - Fax:516-829-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01341377Medicaid
0324980001Medicare ID - Type Unspecified