Organization Active NPI

Kings County Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1780953315
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1210706 Issued in NY
Legal business name
KINGS COUNTY MEDICAL SUPPLY INC.
Practice address
560 Remsen Ave.
Brooklyn, NY 11236
Phone
(718) 484-9400
NPI assigned
Dec 28, 2011
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mr. Humphrey Ude
Title
Owner
Phone
(646) 327-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1210706 NY Primary

Addresses

Primary practice location

560 Remsen Ave.
Brooklyn, NY 11236

Mailing address

560 Remsen Ave.
Brooklyn, NY 11236
Phone (718) 484-9400

National Provider Directory

National Provider Directory

Locations

560 Remsen Ave
Brooklyn, NY 11236
Phone (718) 484-9400

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1780953315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 REMSEN AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-484-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 REMSEN AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-484-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS COUNTY MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "UDE",
        "authorized_official_first_name": "HUMPHREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-327-4765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1210706",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 9, 2012; 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.