Active NPI
Medi Ease Supplies LLC
- Customized Equipment (DME)
- Yonkers, NY
National Provider Identifier
1215827183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MEDI EASE SUPPLIES LLC
- Practice address
- 299 Central Park Ave
Yonkers, NY 10704 - Phone
- (347) 213-6894
- Fax
- (212) 888-6024
- NPI assigned
- Jul 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Altagracia De Jesus
- Title
- Owner
- Phone
- (347) 213-6894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
299 Central Park Ave
Yonkers, NY 10704
Mailing address
560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Phone (201) 641-2125
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1215827183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 HUDSON ST STE 301",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016655",
"telephone_number": "201-641-2125",
"fax_number": "201-641-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "10704",
"telephone_number": "347-213-6894",
"fax_number": "212-888-6024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDI EASE SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "ALTAGRACIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-213-6894"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.