Active NPI
Family Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1013367697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FAMILY MEDICAL SUPPLY INC
- Practice address
- 3074 Brighton 3Rd St FL 1
Brooklyn, NY 11235-7409 - Phone
- (347) 708-3333
- Fax
- (347) 708-4444
- NPI assigned
- Jun 15, 2016
- Organization subpart
- Yes
- Parent organization
- FAMILY SUPPLY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruslan Musaev
- Title
- President
- Phone
- (347) 708-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | Primary |
Addresses
Primary practice location
3074 Brighton 3Rd St FL 1
Brooklyn, NY 11235-7409
Mailing address
3074 Brighton 3Rd St FL 1
Brooklyn, NY 11235-7409
Phone (347) 708-3333
Other practice location 1
441 Kings Hwy
Brooklyn, NY 11223-1718
Phone (718) 734-2857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170421001459 | NY | DME Supplier - Medical Supply Company | 5799061081 | Practice locations: Brooklyn, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1265164941
5799061081
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Family Medical Supply, Inc. | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelcha… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Family Medical Supply Inc
- Part of
- Family Medical Supply Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1265164941
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1568320729
Locations
3074 Brighton 3rd St
Fl 1
Brooklyn, NY 11235
Phone (347) 708-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013367697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 BRIGHTON 3RD ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357409",
"telephone_number": "347-708-3333",
"fax_number": "347-708-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3074 BRIGHTON 3RD ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357409",
"telephone_number": "347-708-3333",
"fax_number": "347-708-4444"
}
],
"practiceLocations": [
{
"address_1": "441 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112231718",
"country_code": "US",
"telephone_number": "718-734-2857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY MEDICAL SUPPLY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY SUPPLY INC",
"enumeration_date": "2016-06-15",
"last_updated": "2022-07-21",
"certification_date": "2021-08-06",
"status": "A",
"authorized_official_last_name": "MUSAEV",
"authorized_official_first_name": "RUSLAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-708-3333"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Family Madical Practice P.C.
- Family Medical Care of Marine Park, P.C.
- Family Medical Group of Nostrand Avenue
- Family Medical Health Care PLLC
- Family Medical Practice, P.C.
- Family Medical Supply Inc
- Family Medicine Practice, LLC
- Family Nurse Pracittioner Outpatient Services
- Family Nurse Practitioner Outpatient Services
- Family Optometry P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.