Universal Supply Depot Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1223102 Issued in NY

Legal business name

UNIVERSAL SUPPLY DEPOT INC

Practice address

394 Neptune Ave
Brooklyn, NY 11235-8026

Phone

(718) 332-5801

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Marina Burman

Title

Director

Phone

(866) 307-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Universal Supply Depot Inc. Doing business as

Locations

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1225006992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 A NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358026",
            "telephone_number": "718-332-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SUPPLY DEPOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "BURMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-307-8191"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1223102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Supply Depot Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Universal Speech, LLC
• Universal Vip Medical Services PLLC
• Universal Vip Medical Services PLLC
• University Dental Associates, L.L.P.
• University Group Medical Associates, P.C
• University Heart Associates, MD'S, PC.

• All providers in Brooklyn, NY
• 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 Apr 22, 2016; 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.