Organization Active NPI

Victory Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1992951354
Registry record updated Aug 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VICTORY MEDICAL SUPPLIES INC
Practice address
475 Saint Marks PL
Staten Island, NY 10301-2408
Phone
(917) 836-8265
NPI assigned
Aug 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2008

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

Authorized official

Name
Eric Workin
Title
President
Phone
(917) 836-8265

Specialties & licenses 1

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

Addresses

Primary practice location

475 Saint Marks PL
Staten Island, NY 10301-2408

Mailing address

475 Saint Marks PL
Staten Island, NY 10301-2408
Phone (917) 836-8265

National Provider Directory

National Provider Directory

Locations

475 Saint Marks Pl
Staten Island, NY 10301
Phone (718) 448-7500

NPI Registry JSON

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

{
    "created_epoch": "1218844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218844800000",
    "number": "1992951354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012408",
            "telephone_number": "917-836-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012408",
            "telephone_number": "917-836-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-16",
        "last_updated": "2008-08-16",
        "status": "A",
        "authorized_official_last_name": "WORKIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-836-8265"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2008; 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.