Mid Island Medical Supply LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MID ISLAND MEDICAL SUPPLY LLC

Practice address

161 E Main St
Mount Kisco, NY 10549-2311

Phone

(347) 503-7148

Fax

(347) 503-7148

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Corey Deutsch

Title

Ceo

Phone

(845) 803-4368

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• Medically Modern Doing business as
• Mid Island Medical Supply Company Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1023042348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 7TH AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184502",
            "telephone_number": "347-503-7148",
            "fax_number": "347-503-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492311",
            "telephone_number": "347-503-7148",
            "fax_number": "347-503-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ISLAND MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-803-4368"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "F394358",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1535046",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "100153504601",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01577384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medically Modern",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Island Medical Supply Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Island Medical Supply Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lynn Messina, M.D.
• Shelley Mesznik, RD
• Patricia Meyer, MD
• Michael D Healy Physician PC
• Kelsey Michaels
• David W. Miller, MD
• Janet A, Miller, PT
• Nan Miller, LCSW, PH.D.
• Robin M Miller, MD
• Melissa D Millian Katz, LCSW

• Parenteral & Enteral Nutrition Supplies (DME) in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.