Elite Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1276695 Issued in NY

Legal business name

ELITE MEDICAL SUPPLY

Practice address

80 Vanderveer St
Brooklyn, NY 11207-1713

Phone

(347) 267-2653

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Warren Evans

Title

Manger

Phone

(347) 267-2653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1235317710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VANDERVEER STREET",
            "city": "BROOLKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "347-267-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VANDERVEER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071713",
            "telephone_number": "347-267-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "347-267-2653"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1276695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Comprehensive Medical Services PLLC
• Elite Foot Care P.C.
• Elite HHC LLC
• Elite Home Care for Loved Ones LLC
• Elite Home Services LLC
• Elite Medical Supply Group LLC
• Elite Office Based Surgery,PLLC
• Elite Optics Inc
• Elite Pharmacy Inc.
• Elite Road Masters LLC

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 6, 2008; 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.