Organization Active NPI

Mayflower Medical Supplies Company, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Brooklyn, NY
National Provider Identifier
1497755722
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
304381 Issued in NY
Legal business name
MAYFLOWER MEDICAL SUPPLIES COMPANY, INC.
Practice address
1726 86TH St
Brooklyn, NY 11214-3716
Phone
(718) 259-9500
Fax
(718) 837-8178
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mr. Mark M Santo
Title
Vice President
Phone
(718) 259-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 304381 NY Primary

Addresses

Primary practice location

1726 86TH St
Brooklyn, NY 11214-3716

Mailing address

1726 86TH St
Brooklyn, NY 11214-3716
Phone (718) 259-9500

Other identifiers 1

IdentifierTypeStateIssuer
02365662MedicaidNY

National Provider Directory

National Provider Directory

Locations

1726 86th St
Brooklyn, NY 11214
Phone (718) 259-9500

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1497755722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143716",
            "telephone_number": "718-259-9500",
            "fax_number": "718-837-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143716",
            "telephone_number": "718-259-9500",
            "fax_number": "718-837-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER MEDICAL SUPPLIES COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "SANTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-259-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "304381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.