PSC Medical Supply Group Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PSC MEDICAL SUPPLY GROUP INC

Practice address

9806 101St Ave
Ozone Park, NY 11416-2607

Phone

(718) 322-6600

Fax

(718) 322-7846

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Severino II

Title

Manager

Phone

(718) 322-6600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1205981685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162607",
            "telephone_number": "718-322-6600",
            "fax_number": "718-322-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162607",
            "telephone_number": "718-322-6600",
            "fax_number": "718-322-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSC MEDICAL SUPPLY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "SEVERINO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-322-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Prashad
• Primary Medical Care Services PLLC
• Prime QRX Corp
• Priority Care Pharmacy Inc
• Promise Care Inc
• PSC Medical Supply Group Inc.
• Nina Puchaev
• Pure Care RX Inc.
• QC Chiropractic and Physical Therapy
• QC Medical Care, PC

• Parenteral & Enteral Nutrition Supplies (DME) in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.