Organization Active NPI

On the Run Surgical Supplies Inc.,

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1154429926
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CFO075 Issued in NY
Legal business name
ON THE RUN SURGICAL SUPPLIES INC.,
Practice address
8015 17TH Ave
Brooklyn, NY 11214-2105
Phone
(347) 743-1229
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Anthony Licausi, CFO
Title
President
Phone
(347) 743-1229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CFO075 NY
Prosthetic/Orthotic Supplier 335E00000X CFO075 NY Primary

Addresses

Primary practice location

8015 17TH Ave
Brooklyn, NY 11214-2105

Mailing address

8015 17TH Ave
Brooklyn, NY 11214-2105
Phone (347) 743-1229

National Provider Directory

National Provider Directory

Locations

8015 17th Ave
Brooklyn, NY 11214
Phone (347) 743-1229

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154429926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142105",
            "telephone_number": "347-743-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142105",
            "telephone_number": "347-743-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE RUN SURGICAL SUPPLIES INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LICAUSI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-743-1229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "CFO075",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "CFO075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.