Organization Active NPI

Fateh Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NY
National Provider Identifier
1790603777
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FATEH SUPPLY INC
Practice address
4000 Medical Center Drive
Suit 301
Fayetteville, NY 13066
Phone
(315) 401-9351
NPI assigned
Jul 8, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Fateh Muhammad
Title
Ceo
Phone
(315) 401-9351

Specialties & licenses 1

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

Addresses

Primary practice location

4000 Medical Center Drive
Suit 301
Fayetteville, NY 13066

Mailing address

923 Saw Mill River Rd # 123
Ardsley, NY 10502-1106
Phone (315) 401-9351

National Provider Directory

National Provider Directory

Locations

923 Saw Mill River Rd
Ardsley, NY 10502
Phone (212) 287-5086

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1790603777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 SAW MILL RIVER RD # 123",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021106",
            "telephone_number": "315-401-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DRIVE",
            "address_2": "SUIT 301",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-401-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATEH SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "FATEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-401-9351"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.