Organization Active NPI

Direct Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glen Cove, NY
National Provider Identifier
1639188246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIRECT MEDICAL SUPPLIES, INC.
Practice address
26 Glen St
Glen Cove, NY 11542-5005
Phone
(516) 759-4474
Fax
(516) 759-5458
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bianca Kaufman
Title
President
Phone
(516) 759-4474

Specialties & licenses 1

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

Addresses

Primary practice location

26 Glen St
Glen Cove, NY 11542-5005

Mailing address

17 Ernest CT
Kings Park, NY 11754-5020
Phone (516) 759-4474

Other identifiers 1

IdentifierTypeStateIssuer
01750870MedicaidNY

National Provider Directory

National Provider Directory

Locations

26 Glen St
Glen Cove, NY 11542
Phone (516) 759-4474

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639188246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ERNEST CT",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117545020",
            "telephone_number": "516-759-4474",
            "fax_number": "516-759-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GLEN ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115425005",
            "telephone_number": "516-759-4474",
            "fax_number": "516-759-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-759-4474"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01750870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.