Organization Active NPI

Edy Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1093640955
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EDY SUPPLY INC
Practice address
1 W 125TH St Ste 236
New York, NY 10027-4524
Phone
(917) 209-3906
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Eduard Yeltsov
Title
Ceo
Phone
(917) 209-3906

Specialties & licenses 1

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

Addresses

Primary practice location

1 W 125TH St Ste 236
New York, NY 10027-4524

Mailing address

1 W 125TH St Ste 236
New York, NY 10027-4524
Phone (917) 209-3906

National Provider Directory

National Provider Directory

Locations

1 W 125th St
Ste 236
New York, NY 10027

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1093640955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W 125TH ST STE 236",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274524",
            "telephone_number": "917-209-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 125TH ST STE 236",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274524",
            "telephone_number": "917-209-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDY SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "YELTSOV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-209-3906"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.