Olive Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1412600 Issued in NY

Legal business name

OLIVE MEDICAL SUPPLIES INC

Practice address

504A E Tremont Ave
Bronx, NY 10457-4514

Phone

(917) 737-7710

Fax

(917) 737-7713

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Iretioluwa Kayode Adebayo

Title

Owner

Phone

(917) 737-7710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1104195692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574514",
            "telephone_number": "917-737-7710",
            "fax_number": "917-737-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574514",
            "telephone_number": "917-737-7710",
            "fax_number": "917-737-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "IRETIOLUWA",
        "authorized_official_middle_name": "KAYODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-737-7710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1412600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Grace P. Oliva, RN
• Beatriz Oliva
• Jehiely Olivares
• Nathaly N Olivares
• Stephanie Giselle Olivares
• Olive Medical Supply
• Camila Nascimento Silva B Oliveira, MD
• Jennifer Marie Oliver-Krasinski, MD, PHD
• Rebecca Oliver-Maycock, LMSW
• Christian Oliver

• Durable Medical Equipment & Medical Supplies in Bronx, NY
• Providers in Bronx, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.