Organization Active NPI

18TH Ave Care LLC

Doing business as Medical Aid Supplies

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1750843215
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
18TH AVE CARE LLC
Doing business as
Medical Aid Supplies
Practice address
5906 18TH Ave
Brooklyn, NY 11204-2201
Phone
(718) 682-3606
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mr. Moses BrullNPI 1316440431
Title
Owner
Phone
(347) 489-8934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5906 18TH Ave
Brooklyn, NY 11204-2201

Mailing address

5906 18TH Ave
Brooklyn, NY 11204-2201
Phone (718) 682-3606

Other identifiers 1

IdentifierTypeStateIssuer
06110205MedicaidNY

Other names 1

  • Medical Aid Supplies Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511000816 NY DME Supplier - Medical Supply Company With Pedorthic Personnel 1456738566 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
18TH Ave Care LLC/ Medical Aid5906 18TH Ave, Brooklyn, NY 11204-2201(718) 682-3606 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipme… Accepts assignmentParticipating since Mar 31, 2022

National Provider Directory

National Provider Directory

Locations

5910 18th Ave
Brooklyn, NY 11204
Phone (347) 768-3724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1750843215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042201",
            "telephone_number": "718-682-3606",
            "fax_number": "646-849-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042201",
            "telephone_number": "718-682-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "18TH AVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "BRULL",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-489-8934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06110205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Aid Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.