Active NPI
Advance Supply Inc
- Durable Medical Equipment & Medical Supplies
- Lawrence, NJ
National Provider Identifier
1942087192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ADVANCE SUPPLY INC
- Practice address
- 990 Spruce St Ste 202
Lawrence, NJ 08648-4566 - Phone
- (609) 669-0005
- NPI assigned
- Sep 12, 2023
- Last updated
- Jul 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Konstantin Isakov
- Title
- Owner
- Phone
- (917) 662-2210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
990 Spruce St Ste 202
Lawrence, NJ 08648-4566
Mailing address
990 Spruce St Ste 202
Lawrence, NJ 08648-4566
Phone (609) 669-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240729002702 | NJ | DME Supplier - Medical Supply Company | 8527504380 | Practice locations: Lawrence, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advance Supply Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducin… | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1942087192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 SPRUCE ST STE 202",
"city": "LAWRENCE",
"state": "NJ",
"postal_code": "086484566",
"telephone_number": "609-669-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 SPRUCE ST STE 202",
"city": "LAWRENCE",
"state": "NJ",
"postal_code": "086484566",
"telephone_number": "609-669-0005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "ISAKOV",
"authorized_official_first_name": "KONSTANTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-662-2210"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.