Organization Active NPI

Metromed Medical Supplies Corp

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1003967787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1096061 Issued in NY
Legal business name
METROMED MEDICAL SUPPLIES CORP
Practice address
1520 86TH St
Brooklyn, NY 11228-3421
Phone
(718) 621-3398
Fax
(718) 621-3396
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Irene Vito
Title
Vice President
Phone
(718) 621-3398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1096061 NY Primary

Addresses

Primary practice location

1520 86TH St
Brooklyn, NY 11228-3421

Mailing address

1520 86TH St
Brooklyn, NY 11228-3421
Phone (718) 621-3398

Other identifiers 1

IdentifierTypeStateIssuer
02291550MedicaidNY

Other names 1

  • SAME Doing business as

National Provider Directory

National Provider Directory

Locations

1520 86th St
Brooklyn, NY 11228
Phone (718) 621-3398

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003967787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283421",
            "telephone_number": "718-621-3398",
            "fax_number": "718-621-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283421",
            "telephone_number": "718-621-3398",
            "fax_number": "718-621-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROMED MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-621-3398",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1096061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.