NPIMap

Organization Active NPI

Bisyata Dishmaya Management Services Inc.

  • Pedorthist
  • Brooklyn, NY
National Provider Identifier
1811345101
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
C36411 Issued in NY
Legal business name
BISYATA DISHMAYA MANAGEMENT SERVICES INC.
Practice address
910 46TH Street
Ground Floor
Brooklyn, NY 11219
Phone
(718) 782-0600
Fax
(718) 305-7001
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Mr. Samuel D Teitelbaum, C-PED
Title
Pedorthist
Phone
(718) 782-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193200000X MULTI-SPECIALTY GROUP 224L00000X C36411 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

910 46TH Street
Ground Floor
Brooklyn, NY 11219

Mailing address

928 46TH St
Left Door
Brooklyn, NY 11219-2331
Phone (718) 782-0600

Other names 1

  • Teitelbaum C-Ped Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106002579 NY DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 3779789235 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Bisyata Dishmaya Management Service910 46TH St, Brooklyn, NY 11219-2331(718) 782-0600 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Stan… Does not accept assignmentParticipating since Nov 7, 2007

National Provider Directory

National Provider Directory
Tax ID family
Bisyata Dishmaya Management Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1811345101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 46TH ST",
            "address_2": "LEFT DOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192331",
            "telephone_number": "718-782-0600",
            "fax_number": "718-305-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 46TH STREET",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-782-0600",
            "fax_number": "718-305-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISYATA DISHMAYA MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PEDORTHIST",
        "authorized_official_telephone_number": "718-782-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": "NY",
            "license": "C36411",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teitelbaum C-Ped",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teitelbaum C-Ped",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 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.