Organization Active NPI

Med Supply Distributing

  • Durable Medical Equipment & Medical Supplies
  • Forest Hills, NY
National Provider Identifier
1831458454
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED SUPPLY DISTRIBUTING
Practice address
11064 Queens Blvd Ste 320
Forest Hills, NY 11375-6347
Phone
(800) 749-5161
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Alex Soliternik
Title
President
Phone
(800) 749-5161

Specialties & licenses 1

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

Addresses

Primary practice location

11064 Queens Blvd Ste 320
Forest Hills, NY 11375-6347

Mailing address

11064 Queens Blvd Ste 320
Forest Hills, NY 11375-6347
Phone (800) 749-5161

National Provider Directory

National Provider Directory

Locations

11064 Queens Blvd
Ste 320
Forest Hills, NY 11375
Phone (800) 749-5161

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1831458454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11064 QUEENS BLVD STE 320",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "800-749-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11064 QUEENS BLVD STE 320",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756347",
            "telephone_number": "800-749-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SUPPLY DISTRIBUTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "SOLITERNIK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-749-5161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.