Bayside Supply I Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAYSIDE SUPPLY I INC

Practice address

22421 Union Tpke
Bayside, NY 11364-3631

Phone

(347) 968-9411

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Gary Suyunov

Title

President

Phone

(347) 968-9411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1871050393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22421 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "347-968-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22421 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643631",
            "telephone_number": "347-968-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SUPPLY I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "SUYUNOV",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-968-9411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayside Physical Therapy, Chiropractic & Acupuncture PLLC
• Bayside Professional PT PC
• Bayside Rehab PT PC
• Bayside RX LLC
• Bayside Speech & Language Pals, PLLC
• Bayside USA Acupuncture P.C.
• Bayside Vision Corp
• Bayview Orthodontics, P.C.
• Beacon Heights Psychology PLLC
• Beauplan Medical

• Durable Medical Equipment & Medical Supplies in Bayside, NY
• Providers in Bayside, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.