Organization Active NPI

Excellent Medical Supplies Inc.

Doing business as Sole Care Nyc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1639850605
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXCELLENT MEDICAL SUPPLIES INC.
Doing business as
Sole Care Nyc
Practice address
4503 16TH Ave
Brooklyn, NY 11204-1102
Phone
(718) 247-8531
Fax
(718) 247-8535
NPI assigned
Jul 31, 2023
Last updated
Nov 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2023

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

Authorized official

Name
Mr. Samuel Z Srulowitz
Title
President
Phone
(718) 247-8531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

4503 16TH Ave
Brooklyn, NY 11204-1102

Mailing address

4503 16TH Ave
Brooklyn, NY 11204-1102
Phone (718) 247-8531

Other names 1

  • SOLE CARE NYC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517001703 NY DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company 3870934177 Practice locations: Brooklyn, 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
Excellent Medical Supplies Inc4503 16TH Ave, Brooklyn, NY 11204-1102(718) 247-8531 Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthose… Accepts assignmentParticipating since May 17, 2024

National Provider Directory

National Provider Directory

Locations

4503 16th Ave
Brooklyn, NY 11204
Phone (718) 247-8531

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700870400000",
    "number": "1639850605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041102",
            "telephone_number": "718-247-8531",
            "fax_number": "718-247-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041102",
            "telephone_number": "718-247-8531",
            "fax_number": "718-247-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "SRULOWITZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-247-8531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLE CARE NYC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOLE CARE NYC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.