Organization Active NPI

Superior DME, Inc.

Doing business as Solecare

  • Prosthetic/Orthotic Supplier
  • Spring Valley, NY
National Provider Identifier
1720655319
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SUPERIOR DME, INC.
Doing business as
Solecare
Practice address
52 N Myrtle Ave # 54
Spring Valley, NY 10977-4817
Phone
(718) 977-5151
Fax
(718) 977-5152
NPI assigned
Jun 10, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Shmuel Srulowitz
Title
President
Phone
(917) 865-8365

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

52 N Myrtle Ave # 54
Spring Valley, NY 10977-4817

Mailing address

52 N Myrtle Ave # 54
Spring Valley, NY 10977-4817
Phone (718) 977-5151

Other names 1

  • Solecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929001021 NY DME Supplier - Medical Supply Company With Pedorthic Personnel 6800293150 Practice locations: Spring Valley, NY

National Provider Directory

National Provider Directory
Tax ID family
Superior DME Inc2 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.

Locations

52 N Myrtle Ave
Spring Valley, NY 10977

52 N Myrtle Ave
#54
Spring Valley, NY 10977
Phone (212) 763-3391

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1720655319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 N MYRTLE AVE # 54",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774817",
            "telephone_number": "718-977-5151",
            "fax_number": "718-977-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N MYRTLE AVE # 54",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774817",
            "telephone_number": "718-977-5151",
            "fax_number": "718-977-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "SRULOWITZ",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-865-8365"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.