Medisource Supplies Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDISOURCE SUPPLIES INC

Practice address

8056 Langdale St
New Hyde Park, NY 11040-1512

Phone

(803) 232-3151

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Ally

Title

Manager

Phone

(803) 232-3151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1780597583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8056 LANGDALE ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401512",
            "telephone_number": "803-232-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 LANGDALE ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401512",
            "telephone_number": "803-232-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "ALLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-232-3151"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Healthcare Supplies LLC
• Med360 Pharmacy Inc
• Medical Services of Bellmore PC
• Medical Services of Kips Bay PC
• Medisource Supplies Inc
• Medline Care Inc.
• Medman Primary Care Medicine PC
• Julia Marie Meehan, CRNA
• Kavini Bachubhai Mehta, MD
• Nilesh Mehta, MBBS, MD

• Urgent Care Clinic/Center in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.