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IVAN JAVAKHISHVILI
NPI 1902690209
Durable Medical Equipment & Medical Supplies - Customized Equipment in Brooklyn, NY

Active since April 09, 2025
2955 NOSTRAND AVE, BROOKLYN, NY 11229(917) 833-2391 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Javakhishvili NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN JAVAKHISHVILI (NPI 1902690209) is an individual customized equipment provider in Brooklyn, New York, licensed in New York (2106612-DCA) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1902690209
Entity TypeIndividualMale
Primary Taxonomy332BC3200X
Provider Legal NameIVAN JAVAKHISHVILI
Location Address2955 NOSTRAND AVEBrooklyn, NY 11229-1873
Mailing Address2955 Nostrand AveBrooklyn, NY 11229-1873 · (917) 833-2391
Phone(917) 833-2391
Sole ProprietorYes
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1902690209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in NY · 2106612-DCA
2955 NOSTRAND AVE, Brooklyn, NY 11229
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Javakhishvili's NPI number?

The NPI number for Ivan Javakhishvili is 1902690209. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Ivan Javakhishvili located?

Ivan Javakhishvili practices at 2955 Nostrand Ave, Brooklyn, NY 11229. The listed phone number is (917) 833-2391.

What is Ivan Javakhishvili's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Ivan Javakhishvili was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.