Organization Active NPI

MD Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, DE
National Provider Identifier
1033009162
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MD MEDICAL SUPPLY LLC
Practice address
1401 Pennsylvania Ave Ste 105
Wilmington, DE 19806-4125
Phone
(305) 901-5400
Fax
(305) 901-5400
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mr. Jay Jani
Title
Ceo
Phone
(305) 901-5400

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Pennsylvania Ave Ste 105
Wilmington, DE 19806-4125

Mailing address

1401 Pennsylvania Ave Ste 105
Wilmington, DE 19806-4125
Phone (305) 901-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1033009162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PENNSYLVANIA AVE STE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064125",
            "telephone_number": "305-901-5400",
            "fax_number": "305-901-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PENNSYLVANIA AVE STE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064125",
            "telephone_number": "305-901-5400",
            "fax_number": "305-901-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-901-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.