NPIMap

Organization Active NPI

Supreme DME Ny

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1366044422
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPREME DME NY
Practice address
2946 Avenue S
Brooklyn, NY 11229-3229
Phone
(929) 400-5500
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Ms. Ilona KvasnitskaNPI 1528754256
Title
President
Phone
(929) 400-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2946 Avenue S
Brooklyn, NY 11229-3229

Mailing address

2946 Avenue S
Brooklyn, NY 11229-3229
Phone (929) 400-5500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1366044422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293229",
            "telephone_number": "929-400-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293229",
            "telephone_number": "929-400-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DME NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "KVASNITSKA",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-400-5500",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Nov 13, 2020; 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.