Mermaid Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERMAID MEDICAL SUPPLY INC

Practice address

3682A Nostrand Ave
Brooklyn, NY 11229-5303

Phone

(929) 219-3000

Fax

(929) 219-4000

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

David Agayev

Title

President

Phone

(929) 219-3000

Specialties & licenses 1

Addresses

Tax ID family

Mermaid Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mermaid Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1437768223
  NPD tax ID

Locations

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1427764281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682A NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295303",
            "telephone_number": "929-219-3000",
            "fax_number": "929-219-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3682A NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295303",
            "telephone_number": "929-219-3000",
            "fax_number": "929-219-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "AGAYEV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-219-3000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mermaid Dental Arts P.C.
• Mermaid Management Inc
• Mermaid Manor Hfa
• Mermaid Medical Art'S PC
• Mermaid Medical PC
• Mermaid Medical Supply Inc
• Mermaid Medical Wellness.PC
• Mermaid Operating Co, LLC
• Mermaid Optical
• Mermaid Pharmacy Inc

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 25, 2023; 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.