Active NPI
Medicare Supplies Plus Inc
- Durable Medical Equipment & Medical Supplies
- Elmont, NY
National Provider Identifier
1639151103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICARE SUPPLIES PLUS INC
- Practice address
- 174C Meacham Ave
Elmont, NY 11003-2632 - Phone
- (516) 295-2092
- Fax
- (516) 295-2178
- NPI assigned
- Nov 18, 2005
- 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
- Mr. Judah David Weinberg
- Title
- President, Owner
- Phone
- (516) 295-2092
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
174C Meacham Ave
Elmont, NY 11003-2632
Mailing address
174C Meacham Ave
Elmont, NY 11003-2632
Phone (516) 295-2092
Other practice location 1
227 Nassau Street
Hewlett, NY 11557
Phone (516) 295-2092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01371342 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930026354 | NY | DME Supplier - Medical Supply Company With Respiratory Therapist | 5890813448 | Practice locations: Elmont, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Medicare Supplies Plus
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Advanced Care
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1093025074
Locations
227 Nassau St
Hewlett, NY 11557
Phone (516) 295-2092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1639151103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174C MEACHAM AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032632",
"telephone_number": "516-295-2092",
"fax_number": "516-295-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174C MEACHAM AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032632",
"telephone_number": "516-295-2092",
"fax_number": "516-295-2178"
}
],
"practiceLocations": [
{
"address_1": "227 Nassau Street",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "11557",
"country_code": "US",
"telephone_number": "516-295-2092",
"fax_number": "516-295-2178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICARE SUPPLIES PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "JUDAH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "516-295-2092",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01371342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.