Ideal Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDEAL MEDICAL SUPPLY

Practice address

18826 119TH Rd
Saint Albans, NY 11412-3604

Phone

(347) 233-8600

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By 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

Mr. Foster Aimufua

Title

Ceo

Phone

(347) 233-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1255676466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18826 119TH RD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123604",
            "telephone_number": "347-233-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18826 119TH RD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123604",
            "telephone_number": "347-233-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "AIMUFUA",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-233-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tishalee Moesha Humber I
• Janell Humphrey
• Karen Humphrey
• Anika Hunter-Julien
• Jasmine Hutchinson
• Collins Ihunnia
• Nathaniel Ehiabhi Ikhena, PMHNP-BC
• Inspired Inhouse Health Care, Inc.
• Janice Isaac, LMSW
• Karen Jackson, M.S.ED.

• Durable Medical Equipment & Medical Supplies in Saint Albans, NY
• Providers in Saint Albans, 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 Nov 29, 2012; 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.