Organization Active NPI

American Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1033181532
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1164507 Issued in NY
Legal business name
AMERICAN MEDICAL SUPPLY INC.
Practice address
6104 18TH Ave
Brooklyn, NY 11204-2301
Phone
(718) 232-0653
Fax
(718) 232-0793
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. Alex Tolchin
Title
President
Phone
(718) 232-0653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1164507 NY Primary

Addresses

Primary practice location

6104 18TH Ave
Brooklyn, NY 11204-2301

Mailing address

6104 18TH Ave
Brooklyn, NY 11204-2301
Phone (718) 232-0653

Other identifiers 1

IdentifierTypeStateIssuer
02938609MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930087031 NY DME Supplier - Medical Supply Company 7810105442 Practice locations: Brooklyn, NY

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
American Medical Supply, Inc6104 18TH Ave, Brooklyn, NY 11204-2301(718) 232-0653 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seatin… Does not accept assignmentParticipating since Mar 31, 2004

National Provider Directory

National Provider Directory

Locations

6104 18th Ave
Brooklyn, NY 11204
Phone (718) 232-0653

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1033181532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042301",
            "telephone_number": "718-232-0653",
            "fax_number": "718-232-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042301",
            "telephone_number": "718-232-0653",
            "fax_number": "718-232-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "TOLCHIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-232-0653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1164507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02938609",
            "state": "NY"
        }
    ],
    "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 Feb 22, 2010; 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.