Myrtle Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MYRTLE MEDICAL SUPPLY LLC

Practice address

414 W 146TH Street
Apt 1
New York, NY 10031

Phone

(646) 533-2650

NPI assigned

Mar 2, 2015

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Norris

Title

Owner

Phone

(646) 533-2650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1427440312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 CARPENTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701421",
            "telephone_number": "718-708-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W 146TH STREET",
            "address_2": "APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "646-533-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-533-2650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron D Goldberg MD PC
• Myron Goldberg M.D. Office Based Surgical Facility P.C.
• Myron I Buchman Mdpcv
• Jonathan Myrtil, MD
• Joseph Myrtil Jr.
• Elizabeth Myrus
• Aida Mysan, MPS, SEP
• Patricia L Myskowski, MD
• Susan A Myslinski, D.C.
• David Myssiorek, MD

• Durable Medical Equipment & Medical Supplies in New York, NY
• Providers in New York, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.