Staff Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAFF MEDICAL SUPPLY INC

Doing business as

Jacoff Medical Supply

Practice address

327 Empire Blvd
Brooklyn, NY 11225-3514

Phone

(718) 774-3311

Fax

(718) 467-0741

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonardo Bambina

Title

Owner / Supervising Pharmacist

Phone

(718) 774-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacoff Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1780711358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250845",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112250845",
            "telephone_number": "718-774-3311",
            "fax_number": "718-467-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EMPIRE BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253514",
            "telephone_number": "718-774-3311",
            "fax_number": "718-467-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-08-24",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BAMBINA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER / SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-774-3311",
        "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": "00323262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacoff Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacoff Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisamarie Lyn Stackpole, CASAC-T, LMSW
• Ebonie Stacy
• Elizabeth Grayson Stadler, LMSW
• Rosanne Stadnik, LCSW
• Staff Medical Supply Inc (Jacoffs Pharmacy)
• Stafford OT, PLLC
• Katherine Wilbanks Stafford, CCC-SLP
• Aviva Stahl, RN
• Jamie Stahl
• Leah Stahl

• 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 Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.