ELITE MEDICAL SUPPLY GROUP LLC (NPI# 1629623210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629623210 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL SUPPLY GROUP LLC |
| Other Organization Name | ELITE MEDICAL SUPPLY |
| Practice Address |
332 Foster Ave Brooklyn NY 11230-2109 |
| Practice Telephone | 3474145700 |
| Practice Fax Number | 3474066100 |
| Mailing Telephone | 3474145700 |
| Mailing Fax Number | 3474066100 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MIKE KOSTYLEV (PRESIDENT) |
| Authorized Official Telephone | 3474145700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELITE MEDICAL SUPPLY GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Elite Medical Supply | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELITE MEDICAL SUPPLY GROUP LLC | 332 Foster Ave, Brooklyn, New York 11230 |
| Street Address |
332 FOSTER AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| 1326654054 | Expandrx Inc | Durable Medical Equipment & Medical Supplies | 2610 Atlantic Ave, Brooklyn, NY 11207-2415 | 2020-09-17 |
| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1114538485 | Ely Niyazov | Durable Medical Equipment & Medical Supplies | 2744 E 64th St, Brooklyn, NY 11234-6822 | 2020-08-11 |
| 1750991337 | Orthotix Inc | Durable Medical Equipment & Medical Supplies | 5711 12th Ave, Brooklyn, NY 11219-4512 | 2020-08-07 |
| 1437768223 | Mermaid Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2724 Mermaid Ave, Brooklyn, NY 11224-2006 | 2020-07-28 |
| 1720605827 | Healthics Inc | Durable Medical Equipment & Medical Supplies | 2367 E 14th St Unit 2, Brooklyn, NY 11229-4307 | 2020-07-06 |
| 1366068496 | Berry Medics Ny | Durable Medical Equipment & Medical Supplies | 84 Broadway Ste 4, Brooklyn, NY 11249-6169 | 2020-06-24 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.