DME Supply Pro Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DME SUPPLY PRO CORP

Doing business as

DME SUPPLY PRO CORP

Practice address

210 42ND St FL 2
Brooklyn, NY 11232-2814

Phone

(718) 925-5004

NPI assigned

Dec 23, 2021

Organization subpart

No

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

Authorized official

Name

Yuriy Yagudayev

Title

Owner

Phone

(718) 925-5004

Specialties & licenses 1

Addresses

Other names 1

• DME SUPPLY PRO CORP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1780344200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 42ND ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322814",
            "telephone_number": "718-925-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 42ND ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322814",
            "telephone_number": "718-925-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME SUPPLY PRO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-925-5004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME SUPPLY PRO CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DME Access Corp
• DME Certified Supplies, Inc.
• DME Health Solutions LLC
• DME Medical Solutions LLC
• DME Orthosupplystore, LLC
• Dmitriy Volotsenko Dental, P.C.
• Yelena Dmitriyeva, RN
• Dmitry Donsky Physician, PC
• Dmitry Pediatrics, Pediatric Nurse Practitioner PC
• DML Acupuncture PC

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 23, 2021; 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.