Life Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE MEDICAL SUPPLY INC.

Doing business as

Life Medical Supply Inc.

Practice address

9914 63Rd Rd
Rego Park, NY 11374-1940

Phone

(917) 456-1315

Fax

(917) 456-1316

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Yankil Mark Abramov

Title

President

Phone

(917) 456-1315

Specialties & licenses 1

Addresses

Other names 1

• Life Medical Supply Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1679275820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741940",
            "telephone_number": "917-456-1315",
            "fax_number": "917-456-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9914 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741940",
            "telephone_number": "917-456-1315",
            "fax_number": "917-456-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "YANKIL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-456-1315"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Medical Supply Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qiang Li, LAC
• Xiao Jun Li, LAC
• Celia Liang, DO
• Nellie E. Liciaga, LCSW, M-CASAC
• Steven Lieberman, OD, FAAO, PC
• Lifeskills Preshool Program
• Lil Pearls Pediatric Dentistry PLLC
• Lilia B Idanan Physician, PC
• John Lim, PHARMD.
• Pao-Chen Lin, PT, DPT

• Durable Medical Equipment & Medical Supplies in Rego Park, NY
• Providers in Rego Park, 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 Mar 21, 2023; 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.

Verify at the official NPI Registry.