Active NPI
Triumph Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Bronx, NY
National Provider Identifier
1770808669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRIUMPH MEDICAL SUPPLY LLC
- Practice address
- 1506 Castle Hill Ave
Bronx, NY 10462-4210 - Phone
- (347) 810-6787
- Fax
- (347) 810-6786
- NPI assigned
- Apr 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elijah Tolu Omolade
- Title
- Managing Partner
- Phone
- (917) 478-4451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1506 Castle Hill Ave
Bronx, NY 10462-4210
Mailing address
317 Castle Hill Ave
Bronx, NY 10473-1642
Phone (917) 478-4451
National Provider Directory
National Provider DirectoryLocations
1506 Castle Hill Ave
Bronx, NY 10462
Phone (347) 810-6787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297900800000",
"number": "1770808669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CASTLE HILL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104731642",
"telephone_number": "917-478-4451",
"fax_number": "347-851-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 CASTLE HILL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104624210",
"telephone_number": "347-810-6787",
"fax_number": "347-810-6786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIUMPH MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-02",
"last_updated": "2011-02-17",
"status": "A",
"authorized_official_last_name": "OMOLADE",
"authorized_official_first_name": "ELIJAH",
"authorized_official_middle_name": "TOLU",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "917-478-4451",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.