Fidelis Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FIDELIS MEDICAL SUPPLY LLC

Practice address

8301 Avenue K
Brooklyn, NY 11236-4233

Phone

(347) 681-5652

Fax

(718) 504-6161

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Thiendy Elizer

Title

Sole MBR

Phone

(347) 681-5652

Specialties & licenses 1

Addresses

Other names 1

• THIENDY ELIZER SOLE MBR Other name

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1508206277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364233",
            "telephone_number": "347-681-5652",
            "fax_number": "718-504-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364233",
            "telephone_number": "347-681-5652",
            "fax_number": "718-504-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ELIZER",
        "authorized_official_first_name": "THIENDY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "347-681-5652"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THIENDY ELIZER SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cassie N Fichter, PSY.D.
• Henry E Ficke, DPM
• Emin Fidan
• Nurten Fidan, P.A.
• Emily Chanie Fiddle
• Fidelity Home Care, Inc.
• Jason D Fidler, DC
• Audrey Fidric, CAT-LP
• Fiducia Medical PC
• Dianne Fiedtkou

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.