Organization Active NPI

Avs Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rego Park, NY
National Provider Identifier
1619070406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1100008 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02335468MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.