Medisource Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDISOURCE CORP

Practice address

9522 117TH St
South Richmond Hill, NY 11419-1212

Phone

(888) 446-4118

NPI assigned

Jul 24, 2026

Organization subpart

No

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

Authorized official

Name

Gaurav Singh

Title

Owner

Phone

(888) 446-4118

Specialties & licenses 1

Addresses

Tax ID family

Medisource Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medisource Corp

  • Urgent Care Clinic/Center
  • South Richmond Hill, NY
  • NPI 1497676274
  NPD tax ID

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1699696476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 117TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191212",
            "telephone_number": "888-446-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 117TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191212",
            "telephone_number": "888-446-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-446-4118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masterpharm, LLC.
• Shyla J Mathew, RPH
• Reginald D McLaughlin, MD
• Theresa McPherson
• Medisource Corp
• Medix Laboratories Inc
• Saurabh P Mehta, R PH
• Enrique F Mejia, M.D.
• Mela Pharmacy LLC
• Sharlene Mickens, LPN

• Durable Medical Equipment & Medical Supplies in South Richmond Hill, NY
• Providers in South Richmond Hill, 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 Jul 24, 2026; 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.