NPIMap

Organization Active NPI

Nys Diagnostics & Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockville, MD
National Provider Identifier
1447061346
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NYS DIAGNOSTICS & SUPPLY, LLC
Practice address
121 Congressional LN Ste 701
Rockville, MD 20852-1562
Phone
(240) 299-6339
Fax
(240) 238-6787
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Minata Saddy, MLS, MHANPI 1811762180
Title
Owner
Phone
(443) 430-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

121 Congressional LN Ste 701
Rockville, MD 20852-1562

Mailing address

121 Congressional LN Ste 701
Rockville, MD 20852-1562
Phone (240) 299-6339

Other practice location 1

14816 Physicians Ln Ste 252
Rockville, MD 20850-3967
Phone (443) 430-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603003263 MD DME Supplier - Independently-Billing Clinical Lab 0446769178 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

14816 Physicians Ln
Ste 252
Rockville, MD 20850
Phone (301) 648-6300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1447061346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 701",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521562",
            "telephone_number": "240-299-6339",
            "fax_number": "240-238-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 701",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521562",
            "telephone_number": "240-299-6339",
            "fax_number": "240-238-6787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14816 Physicians Ln Ste 252",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503967",
            "country_code": "US",
            "telephone_number": "443-430-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NYS DIAGNOSTICS & SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "SADDY",
        "authorized_official_first_name": "MINATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-430-0204",
        "authorized_official_credential": "MLS, MHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.