Medically Modern Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICALLY MODERN INC.

Practice address

2093 Wantagh Ave
Wantagh, NY 11793-3913

Phone

(347) 503-7148

Fax

(347) 503-7148

NPI assigned

Jun 27, 2023

Last updated

Sep 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey Deutsch

Title

Owner

Phone

(201) 589-7214

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757808000000",
    "number": "1215613823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933913",
            "telephone_number": "347-503-7148",
            "fax_number": "347-503-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933913",
            "telephone_number": "347-503-7148",
            "fax_number": "347-503-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALLY MODERN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-589-7214"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Wantagh, NY
• Providers in Wantagh, 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 Sep 14, 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.