Active NPI
Med Support Inc
- Durable Medical Equipment & Medical Supplies
- New York, NY
National Provider Identifier
1992345219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.