Organization Active NPI

Relief Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1578821674
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4165967114263301 Issued in NY
Legal business name
RELIEF MEDICAL SUPPLY
Practice address
61 W Merrick Rd
Valley Stream, NY 11580-5782
Phone
(516) 612-3811
Fax
(516) 612-3812
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Kamoy Kennedy
Title
Owner
Phone
(631) 455-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4165967114263301 NY Primary

Addresses

Primary practice location

61 W Merrick Rd
Valley Stream, NY 11580-5782

Mailing address

61 W Merrick Rd
Valley Stream, NY 11580-5782
Phone (516) 612-3811

National Provider Directory

National Provider Directory

Locations

9 E 213th St
Bronx, NY 10467
Phone (929) 222-4444

3426 Boston Rd
Bronx, NY 10469

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1578821674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805782",
            "telephone_number": "516-612-3811",
            "fax_number": "516-612-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805782",
            "telephone_number": "516-612-3811",
            "fax_number": "516-612-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEF MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KAMOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-455-1211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "4165967114263301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.