Provider Demographics
NPI:1356132914
Name:PROSPERITY MEDICAL
Entity type:Organization
Organization Name:PROSPERITY MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-719-8876
Mailing Address - Street 1:217 BROADWAY FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3011
Mailing Address - Country:US
Mailing Address - Phone:844-402-4344
Mailing Address - Fax:
Practice Address - Street 1:217 BROADWAY FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3011
Practice Address - Country:US
Practice Address - Phone:844-402-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELIEVE HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies