Organization Active NPI

Family Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1265164941
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAMILY MEDICAL SUPPLY INC
Practice address
441 Kings Hwy
Brooklyn, NY 11223-1718
Phone
(718) 734-2857
Fax
(718) 734-2860
NPI assigned
Jun 30, 2022
Organization subpart
Yes
Parent organization
FAMILY MEDICAL SUPPLY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Ruslan Musaev
Title
President
Phone
(347) 708-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

441 Kings Hwy
Brooklyn, NY 11223-1718

Mailing address

441 Kings Hwy
Brooklyn, NY 11223-1718
Phone (718) 734-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220823003657 NY DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Pedorthic Personnel 5799061081 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Supply Inc3 organizations share this tax ID, including this one
Part of
Family Medical Supply Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3074 Brighton 3rd St
Brooklyn, NY 11235
Phone (347) 708-3333

441 Kings Hwy
Brooklyn, NY 11223
Phone (718) 734-2857

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1265164941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231718",
            "telephone_number": "718-734-2857",
            "fax_number": "718-734-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231718",
            "telephone_number": "718-734-2857",
            "fax_number": "718-734-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICAL SUPPLY INC",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MUSAEV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-708-3333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.