Active NPI
White Aid Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1093716334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WHITE AID MEDICAL SUPPLY INC
- Practice address
- 674 Myrtle Ave
Brooklyn, NY 11205 - Phone
- (718) 852-8222
- Fax
- (718) 232-3243
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Gutman
- Title
- Ceo
- Phone
- (718) 852-8222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
674 Myrtle Ave
Brooklyn, NY 11205
Mailing address
674 Myrtle Ave
Brooklyn, NY 11205-3950
Phone (718) 852-8222
Other names 1
- Avista Medical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098396 | NY | DME Supplier - Medical Supply Company | 2961613765 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| White Aid Medical Supplies Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/o… | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pine Brook, NJ
- NPI 1730182023
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1093716334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053950",
"telephone_number": "718-852-8222",
"fax_number": "718-232-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11205",
"telephone_number": "718-852-8222",
"fax_number": "718-232-3243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE AID MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "GUTMAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-852-8222"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avista Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 2, 2026; 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.