Active NPI
United States Medical Supply Co.
- Durable Medical Equipment & Medical Supplies
- Nyack, NY
National Provider Identifier
1114388261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNITED STATES MEDICAL SUPPLY CO.
- Practice address
- 286 S. Boulevard
Nyack, NY 10960 - Phone
- (845) 358-3955
- Fax
- (845) 348-0604
- NPI assigned
- Mar 17, 2016
- Organization subpart
- Yes
- Parent organization
- UNITED STATES MEDICAL SUPPLY CO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George A Fox
- Title
- Vice President
- Phone
- (845) 358-3955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
286 S. Boulevard
Nyack, NY 10960
Mailing address
286 S Boulevard
Nyack, NY 10960-4117
Phone (845) 358-3955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013976828 | Medicaid | NY |
Other names 1
- UNITED STATES MEDICAL SUPPLY CO
National Provider Directory
National Provider Directory- Part of
- United States Medical Supply Co
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Nyack, NY
- NPI 1013976828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458172800000",
"number": "1114388261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 S BOULEVARD",
"city": "NYACK",
"state": "NY",
"postal_code": "109604117",
"telephone_number": "845-358-3955",
"fax_number": "845-348-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 S. BOULEVARD",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-358-3955",
"fax_number": "845-348-0604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED STATES MEDICAL SUPPLY CO.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNITED STATES MEDICAL SUPPLY CO",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "845-358-3955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013976828",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UNITED STATES MEDICAL SUPPLY CO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.