Organization Active NPI

Med-Care Prosthesis & Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1194188417
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4920979 Issued in NY
Legal business name
MED-CARE PROSTHESIS & MEDICAL SUPPLIES
Practice address
648 E 233Rd St
Bronx, NY 10466-2864
Phone
(646) 578-5378
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Ikenna Jason EmejuruNPI 1851751366
Title
Owner
Phone
(646) 578-5378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4920979 NY Primary

Addresses

Primary practice location

648 E 233Rd St
Bronx, NY 10466-2864

Mailing address

648 E 233Rd St
Bronx, NY 10466-2864
Phone (646) 578-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223000541 NY DME Supplier - Medical Supply Company With Orthotic-Prosthetic 5395006878 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Med Care Prosthesis and Medical Sup648 E 233Rd St, Bronx, NY 10466-2864(646) 578-5378 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|… Does not accept assignmentParticipating since Jul 2, 2018

National Provider Directory

National Provider Directory

Locations

553 E 168th St
Bronx, NY 10456
Phone (347) 590-8111

648 E 233rd St
Frnt 1
Bronx, NY 10466
Phone (646) 578-5378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1194188417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662864",
            "telephone_number": "646-578-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662864",
            "telephone_number": "646-578-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE PROSTHESIS & MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "EMEJURU",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-578-5378"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "4920979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.