Organization Active NPI

Family Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1013367697
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170421001459 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Family Medical Supply, Inc.3074 Brighton 3Rd St, Brooklyn, NY 11235-7409(347) 708-3333 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 assignmentParticipating since Feb 2, 2017

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Supply Inc3 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.