U.S. Med Supply Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

U.S. MED SUPPLY CORP.

Practice address

203 Long Beach Rd Ste a
Island Park, NY 11558-1500

Phone

(646) 797-4200

Fax

(347) 797-3171

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

David Costa

Title

President

Phone

(646) 797-4200

Specialties & licenses 1

Addresses

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

Locations

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1164963161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115610964",
            "telephone_number": "646-797-4200",
            "fax_number": "347-797-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LONG BEACH RD STE A",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581500",
            "telephone_number": "646-797-4200",
            "fax_number": "347-797-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 5th Ave",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165016",
            "country_code": "US",
            "telephone_number": "646-797-4200",
            "fax_number": "347-767-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "U.S. MED SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-797-4200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Tabin
• James Vincent Thorne, DDS
• Kimberly Timm
• Jeremy Todd, DC
• Robert Traut, C.P.
• Vimla P. Vadhan, PH.D.
• Michael Vanchieri, DC
• Vatra Spina and Sport LLC
• Deanna Viola
• Susan Wagner

• Durable Medical Equipment & Medical Supplies in Island Park, NY
• Providers in Island Park, 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 Oct 1, 2018; 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.