MTS Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MTS MEDICAL SUPPLY INC

Practice address

205 Sea Breeze Ave
Brooklyn, NY 11224-3732

Phone

(718) 408-0070

Fax

(718) 755-0010

NPI assigned

Jan 6, 2015

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Izrailov

Title

President

Phone

(718) 408-0070

Specialties & licenses 1

Addresses

Other names 1

• dme Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These 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

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1144618794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SEA BREEZE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243732",
            "telephone_number": "718-408-0070",
            "fax_number": "718-755-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SEA BREEZE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243732",
            "telephone_number": "718-408-0070",
            "fax_number": "718-755-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "IZRAILOV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-408-0070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dme",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Providers in Brooklyn, 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 17, 2015; 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.

Verify at the official NPI Registry.