Brookyn Med Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROOKYN MED SUPPLY

Practice address

1107 Rogers Ave Ste 2
Brooklyn, NY 11226-7793

Phone

(800) 431-0231

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Kenneth Chrysostome

Title

Owner

Phone

(800) 431-0231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1235843772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ROGERS AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267793",
            "telephone_number": "800-431-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ROGERS AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267793",
            "telephone_number": "800-431-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKYN MED SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "CHRYSOSTOME",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-431-0231"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synthia Ileyne Brooks, PHD
• Trina Marie Brooks, RN
• Tynysha Brooks
• Tyrah Brooks
• Brookwell Medical PC
• Jacqueline Broomes, NURSE PRACTITIONER
• Marcia Broomes
• Ravone Broomes
• Maricruz Reyes Broomfield
• Broooklyn Medical Center 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 Jan 10, 2023; 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.