Downstate Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1205165 Issued in NY

Legal business name

DOWNSTATE MEDICAL SUPPLY

Practice address

516 Sutter Ave
Brooklyn, NY 11207-3929

Phone

(347) 526-7787

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Keva Johnson

Title

Ceo

Phone

(347) 526-7787

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1679833719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073929",
            "telephone_number": "347-526-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073929",
            "telephone_number": "347-526-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNSTATE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-526-7787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1205165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downstate Medical Center
• Downstate Medical Center
• Downstate Medical PC
• Downstate Medical Services, P.C
• Downstate Medical Services, PC
• Downstate Mental Hygiene Associates
• Downstate Ophthalmology Associates, PC
• Downstate Perinatal Associate P.C.
• Downstate Surgical & Medical Supply Inc
• Downtown BK Dental PLLC

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 May 23, 2012; 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.