Medisource Corp

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDISOURCE CORP

Practice address

9522 117TH St
South Richmond Hill, NY 11419-1212

Phone

(888) 446-4118

NPI assigned

Jul 24, 2026

Organization subpart

No

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

Authorized official

Name

Gaurav Singh

Title

Owner

Phone

(888) 446-4118

Specialties & licenses 1

Addresses

Tax ID family

Medisource Corp2 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.

• Medisource Corp

  • Durable Medical Equipment & Medical Supplies
  • South Richmond Hill, NY
  • NPI 1699696476
  NPD tax ID

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1497676274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 117TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191212",
            "telephone_number": "888-446-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 117TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191212",
            "telephone_number": "888-446-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-446-4118"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masih Home Care Incorporated
• Masterpharm, LLC.
• Shyla J Mathew, RPH
• Reginald D McLaughlin, MD
• Theresa McPherson
• Medisource Corp
• Medix Laboratories Inc
• Saurabh P Mehta, R PH
• Enrique F Mejia, M.D.
• Mela Pharmacy LLC

• Urgent Care Clinic/Center in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.