Organization Active NPI

Med Support Inc

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
National Provider Identifier
1992345219
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED SUPPORT INC
Practice address
619 W 176TH St Ofc a
New York, NY 10033-7829
Phone
(212) 923-2191
Fax
(718) 969-0016
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Ms. Fang Lin Rivera
Title
Owner
Phone
(917) 673-1990

Specialties & licenses 1

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

Addresses

Primary practice location

619 W 176TH St Ofc a
New York, NY 10033-7829

Mailing address

619 W 176TH St Ofc a
New York, NY 10033-7829
Phone (212) 923-2191

National Provider Directory

National Provider Directory

Locations

619 W 176th St
Ofc A
New York, NY 10033
Phone (212) 927-8290

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1992345219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W 176TH ST OFC A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337829",
            "telephone_number": "212-923-2191",
            "fax_number": "718-969-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W 176TH ST OFC A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337829",
            "telephone_number": "212-923-2191",
            "fax_number": "718-969-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "FANG LIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-673-1990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.