Organization Active NPI

Pacific Surgical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1780868877
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
41305551 Issued in NY
Legal business name
PACIFIC SURGICAL SUPPLY INC.
Practice address
2101 Avenue Z Ofc
Brooklyn, NY 11235-2858
Phone
(347) 922-7327
Fax
(718) 303-3026
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Anzhelika Skribka
Title
President
Phone
(347) 445-7627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 41305551 NY Primary

Addresses

Primary practice location

2101 Avenue Z Ofc
Brooklyn, NY 11235-2858

Mailing address

2101 Avenue Z Ofc
Brooklyn, NY 11235-2858
Phone (347) 922-7327

Other identifiers 1

IdentifierTypeStateIssuer
03091650MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093564 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 2466658372 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
Pacific Surgical Supply Inc.2101 Avenue Z, Brooklyn, NY 11235-2858(347) 922-7327 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfa… Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

4050 Nostrand Ave
Ste 3M
Brooklyn, NY 11235
Phone (347) 922-7327

1901 Avenue U
Brooklyn, NY 11229
Phone (718) 975-3828

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1780868877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 AVENUE Z OFC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352858",
            "telephone_number": "347-922-7327",
            "fax_number": "718-303-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 AVENUE Z OFC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352858",
            "telephone_number": "347-922-7327",
            "fax_number": "718-303-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "SKRIBKA",
        "authorized_official_first_name": "ANZHELIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-445-7627"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "41305551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03091650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2026; 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.