Organization Active NPI

Pegasus Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Lynbrook, NY
National Provider Identifier
1417829458
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEGASUS SUPPLY INC
Practice address
15 Atlantic Ave Ste 107
Lynbrook, NY 11563-3051
Phone
(917) 497-9100
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Gabriel Alayev
Title
Owner
Phone
(917) 497-9100

Specialties & licenses 1

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

Addresses

Primary practice location

15 Atlantic Ave Ste 107
Lynbrook, NY 11563-3051

Mailing address

15 Atlantic Ave Ste 107
Lynbrook, NY 11563-3051

National Provider Directory

National Provider Directory

Locations

15 Atlantic Ave
Ste 107
Lynbrook, NY 11563
Phone (917) 497-9100

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417829458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ATLANTIC AVE STE 107",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ATLANTIC AVE STE 107",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633051",
            "telephone_number": "917-497-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ALAYEV",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-497-9100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.