Five County Surgical Supply Co. Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1134298 Issued in NY

Legal business name

FIVE COUNTY SURGICAL SUPPLY CO. INC

Practice address

1311 Avenue U
Brooklyn, NY 11229-3305

Phone

(718) 382-4784

Fax

(718) 998-2637

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Carolynn Saracino

Title

Owner

Phone

(718) 382-4784

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1154320455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293305",
            "telephone_number": "718-382-4784",
            "fax_number": "718-998-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293305",
            "telephone_number": "718-382-4784",
            "fax_number": "718-998-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE COUNTY SURGICAL SUPPLY CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "SARACINO",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-382-4784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1134298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "E52141",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01056591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• 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 8, 2007; 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.