Organization Active NPI

Demetrices Med Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1639746126
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEMETRICES MED SUPPLIES, LLC
Practice address
378 E Gun Hill Rd
Bronx, NY 10467-2202
Phone
(914) 306-7644
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Abdulai M a Adams
Title
Owner
Phone
(914) 306-7644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

378 E Gun Hill Rd
Bronx, NY 10467-2202

Mailing address

PO Box 661447
Bronx, NY 10466-0242
Phone (914) 306-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826002004 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 9234513193 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Demetrices Med Supplies LLC378 E Gun Hill Rd, Bronx, NY 10467-2202(914) 306-7644 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing … Does not accept assignmentParticipating since Jun 8, 2022

National Provider Directory

National Provider Directory

Locations

378 E Gun Hill Rd
Bronx, NY 10467
Phone (212) 882-7191

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1639746126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661447",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104660242",
            "telephone_number": "914-306-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672202",
            "telephone_number": "914-306-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRICES MED SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ABDULAI",
        "authorized_official_middle_name": "M A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-306-7644"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.