Organization Active NPI

Avenza Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1912833187
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AVENZA SUPPLY INC
Practice address
1659 W 4TH St # 2F
Brooklyn, NY 11223-1541
Phone
(202) 390-7491
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Azamat Kasimov
Title
Ceo
Phone
(202) 390-7491

Specialties & licenses 1

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

Addresses

Primary practice location

1659 W 4TH St # 2F
Brooklyn, NY 11223-1541

Mailing address

1659 W 4TH St # 2F
Brooklyn, NY 11223-1541
Phone (202) 390-7491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1912833187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W 4TH ST # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231541",
            "telephone_number": "202-390-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W 4TH ST # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231541",
            "telephone_number": "202-390-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENZA SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "KASIMOV",
        "authorized_official_first_name": "AZAMAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-390-7491"
    },
    "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 Jun 23, 2026; 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.