Assurance Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1210860 Issued in NY

Legal business name

ASSURANCE MEDICAL SUPPLY LLC

Practice address

1423 Stanley Ave
Brooklyn, NY 11208-6403

Phone

(718) 676-0570

Fax

(718) 676-0571

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Assurance Medical LLC

Title

Employee

Phone

(718) 676-0570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1497078422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112086403",
            "telephone_number": "718-676-0570",
            "fax_number": "718-676-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 STANLEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112086403",
            "telephone_number": "718-676-0570",
            "fax_number": "718-676-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "ASSURANCE",
        "authorized_official_middle_name": "MEDICAL",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "718-676-0570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1210860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.