Organization Active NPI

Soulier Shoes Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1710509021
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOULIER SHOES INC
Practice address
4601 13TH Ave
Brooklyn, NY 11219-2631
Phone
(718) 337-8633
NPI assigned
May 8, 2020
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Aron Neustadt
Title
Owner
Phone
(718) 337-8633

Specialties & licenses 1

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

Addresses

Primary practice location

4601 13TH Ave
Brooklyn, NY 11219-2631

Mailing address

4601 13TH Ave
Brooklyn, NY 11219-2631
Phone (718) 337-8633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200701002692 NY DME Supplier - Medical Supply Company 5294158606 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1710509021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192631",
            "telephone_number": "718-337-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192631",
            "telephone_number": "718-337-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULIER SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "NEUSTADT",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-337-8633"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2026; 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.