Blue Star Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUE STAR MEDICAL SUPPLIES

Practice address

41A W Merrick Rd Ste A3
Valley Stream, NY 11580-5708

Phone

(718) 878-5908

Fax

(718) 715-0773

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Nikita Blumental

Title

Owner

Phone

(323) 573-1823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1619721966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A W MERRICK RD STE A3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805708",
            "telephone_number": "718-878-5908",
            "fax_number": "718-715-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41A W MERRICK RD STE A3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805708",
            "telephone_number": "718-878-5908",
            "fax_number": "718-715-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "BLUMENTAL",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-573-1823"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Valley Stream, 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 Apr 15, 2024; 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.