Mermaid Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERMAID MEDICAL SUPPLY INC

Practice address

2724 Mermaid Ave
Brooklyn, NY 11224-2006

Phone

(929) 249-3000

Fax

(929) 249-4000

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By 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

David Agayev

Title

President

Phone

(929) 249-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

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 1427764281
  NPD tax ID

Locations

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1437768223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242006",
            "telephone_number": "929-249-3000",
            "fax_number": "929-249-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242006",
            "telephone_number": "929-249-3000",
            "fax_number": "929-249-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "AGAYEV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-249-3000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Health Center)
• Mermaid Optical
• Mermaid Pharmacy Inc
• Mermaid RX 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 Jul 28, 2020; 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.