Organization Active NPI

Senior Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1881370997
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SENIOR MEDICAL SUPPLIES LLC
Practice address
1109 Avenue S
Brooklyn, NY 11223-3346
Phone
(929) 778-1414
Fax
(929) 335-2511
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Anvarjon Gulomov
Title
President
Phone
(707) 460-5959

Specialties & licenses 1

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

Addresses

Primary practice location

1109 Avenue S
Brooklyn, NY 11223-3346

Mailing address

1109 Avenue S
Brooklyn, NY 11223-3346
Phone (929) 778-1414

National Provider Directory

National Provider Directory

Locations

11829 N 19th Ave
Phoenix, AZ 85029
Phone (602) 368-4617

1109 Avenue S
Brooklyn, NY 11223
Phone (929) 778-1414

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1881370997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233346",
            "telephone_number": "929-778-1414",
            "fax_number": "929-335-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233346",
            "telephone_number": "929-778-1414",
            "fax_number": "929-335-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "GULOMOV",
        "authorized_official_first_name": "ANVARJON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-460-5959"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 27, 2025; 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.