Organization Active NPI

Yes Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Corona, NY
National Provider Identifier
1083481998
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YES MEDICAL SUPPLY INC
Practice address
5020 103Rd St
Corona, NY 11368-3119
Phone
(347) 507-1947
Fax
(347) 507-1944
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Edward Davidov
Title
Authorized Official
Phone
(929) 559-9232

Specialties & licenses 1

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

Addresses

Primary practice location

5020 103Rd St
Corona, NY 11368-3119

Mailing address

5020 103Rd St
Corona, NY 11368-3119
Phone (347) 507-1947

National Provider Directory

National Provider Directory

Locations

5020 103rd St
Corona, NY 11368
Phone (347) 507-1947

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1083481998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683119",
            "telephone_number": "347-507-1947",
            "fax_number": "347-507-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 103RD ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683119",
            "telephone_number": "347-507-1947",
            "fax_number": "347-507-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YES MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "929-559-9232"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.