Organization Active NPI

United States Medical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Nyack, NY
National Provider Identifier
1114388261
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1013976828MedicaidNY

Other names 1

  • UNITED STATES MEDICAL SUPPLY CO Other name

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.

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.

Verify at the official NPI Registry.