Organization Active NPI

Olive Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1487947339
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLIVE MEDICAL SUPPLY
Practice address
736 Allerton Ave
Suite 210
Bronx, NY 10467-8744
Phone
(347) 860-6134
Fax
(347) 920-5144
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mr. Iretioluwa Kayode Adebayo
Title
DME Provider
Phone
(347) 860-6134

Specialties & licenses 1

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

Addresses

Primary practice location

736 Allerton Ave
Suite 210
Bronx, NY 10467-8744

Mailing address

736 Allerton Ave
Suite 210
Bronx, NY 10467-8744
Phone (347) 860-6134

National Provider Directory

National Provider Directory

Locations

736 Allerton Ave
Ste 210
Bronx, NY 10467
Phone (347) 860-6134

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1487947339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 ALLERTON AVE",
            "address_2": "SUITE 210",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678744",
            "telephone_number": "347-860-6134",
            "fax_number": "347-920-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 ALLERTON AVE",
            "address_2": "SUITE 210",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678744",
            "telephone_number": "347-860-6134",
            "fax_number": "347-920-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "IRETIOLUWA",
        "authorized_official_middle_name": "KAYODE",
        "authorized_official_title_or_position": "DME PROVIDER",
        "authorized_official_telephone_number": "347-860-6134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.