Organization Active NPI

Motola Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1396320032
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOTOLA MEDICAL SUPPLY INC.
Practice address
772B Sutter Ave
Brooklyn, NY 11207-4321
Phone
(347) 789-1398
Fax
(718) 228-6861
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Mr. Abiodun DayisiNPI 1467725309
Title
President
Phone
(718) 613-9095

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

772B Sutter Ave
Brooklyn, NY 11207-4321

Mailing address

772B Sutter Ave
Brooklyn, NY 11207-4321
Phone (347) 789-1398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002334 NY DME Supplier - Medical Supply Company 9335558378 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Motola Medical Supply Inc.772B Sutter Ave, Brooklyn, NY 11207-4321(347) 789-1398 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Ne… Accepts assignmentParticipating since Mar 19, 2021

National Provider Directory

National Provider Directory

Locations

772 Sutter Ave
#B
Brooklyn, NY 11207
Phone (347) 789-1398

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1396320032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772B SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074321",
            "telephone_number": "347-789-1398",
            "fax_number": "718-228-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772B SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074321",
            "telephone_number": "347-789-1398",
            "fax_number": "718-228-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOLA MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "DAYISI",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-613-9095",
        "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": []
}

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 Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.