Active NPI
Avs Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Rego Park, NY
National Provider Identifier
1619070406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1100008
- Legal business name
- AVS MEDICAL SUPPLY, INC.
- Practice address
- 6276 Woodhaven Blvd
Rego Park, NY 11374-3738 - Phone
- (718) 505-8555
- Fax
- (718) 651-5566
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Almyras Ceckauskas
- Title
- President
- Phone
- (718) 505-8555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1100008 | NY | Primary |
Addresses
Primary practice location
6276 Woodhaven Blvd
Rego Park, NY 11374-3738
Mailing address
6276 Woodhaven Blvd
Rego Park, NY 11374-3738
Phone (718) 505-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02335468 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
6276 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 505-8555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619070406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6276 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743738",
"telephone_number": "718-505-8555",
"fax_number": "718-651-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6276 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743738",
"telephone_number": "718-505-8555",
"fax_number": "718-651-5566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVS MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CECKAUSKAS",
"authorized_official_first_name": "ALMYRAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-505-8555"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "1100008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02335468",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.