Active NPI
Reza Supply Inc
- Durable Medical Equipment & Medical Supplies
- Elmhurst, NY
National Provider Identifier
1396553749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REZA SUPPLY INC
- Practice address
- 8008 Grand Ave
Elmhurst, NY 11373-4131 - Phone
- (347) 527-2908
- Fax
- (347) 612-4067
- NPI assigned
- Dec 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rakhmin Ustayev
- Title
- President
- Phone
- (347) 527-2908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
8008 Grand Ave
Elmhurst, NY 11373-4131
Mailing address
8008 Grand Ave
Elmhurst, NY 11373-4131
Phone (347) 527-2908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251110002011 | NY | DME Supplier - Medical Supply Company | 0143710947 | Practice locations: Elmhurst, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Reza Supply Inc | Commodes, Urinals, Bedpans|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf|Urological Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
8008 Grand Ave
Elmhurst, NY 11373
Phone (347) 527-2908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1396553749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 GRAND AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734131",
"telephone_number": "347-527-2908",
"fax_number": "347-612-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 GRAND AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734131",
"telephone_number": "347-527-2908",
"fax_number": "347-612-4067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REZA SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-18",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "USTAYEV",
"authorized_official_first_name": "RAKHMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-527-2908"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.