Organization Active NPI

Dynamic Suppliers, LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1891210548
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DYNAMIC SUPPLIERS, LLC
Practice address
118 Falmouth St
Brooklyn, NY 11235-3006
Phone
(631) 569-4192
Fax
(631) 569-4193
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Jennie King
Title
Billing Manager
Phone
(631) 569-4192

Specialties & licenses 1

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

Addresses

Primary practice location

118 Falmouth St
Brooklyn, NY 11235-3006

Mailing address

118 Falmouth St
Brooklyn, NY 11235-3006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1891210548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FALMOUTH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FALMOUTH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353006",
            "telephone_number": "631-569-4192",
            "fax_number": "631-569-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SUPPLIERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-569-4192"
    },
    "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 Aug 3, 2017; 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.