LIGHT SURGICAL SUPPLY, INC.
NPI 1053541359
Durable Medical Equipment & Medical Supplies in Forest Hills, NY

Q: What is Light Surgical Supply, Inc.'s NPI number?

The NPI number for Light Surgical Supply, Inc. is 1053541359. It was assigned to this organization in the NPPES registry on July 21, 2009.

Q: What is Light Surgical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since July 21, 2009

11610 QUEENS BLVD STE 101, FOREST HILLS, NY 11375(646) 930-7459(646) 930-7462 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018, Mar 29, 2018 and 1 more (4 updates tracked since 2016).

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About Light Surgical Supply, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHT SURGICAL SUPPLY, INC. (NPI 1053541359) is a healthcare organization registered as a durable medical equipment & medical supplies in Forest Hills, New York and active in the NPI registry since July 2009. The organization lists Rafael Maksumov, President, as its authorized official.

NPPES Registry Identity

NPI1053541359

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLIGHT SURGICAL SUPPLY, INC.

Location Address11610 QUEENS BLVD STE 101Forest Hills, NY 11375-7055

Mailing Address11610 Queens Blvd Ste 101Forest Hills, NY 11375-7055 · (646) 930-7459 · Fax (646) 930-7462

Phone(646) 930-7459

Fax(646) 930-7462

Organization SubpartNo

Authorized OfficialRafael MaksumovPresident · (646) 930-7459

Enumeration DateJuly 21, 2009

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1053541359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

11610 QUEENS BLVD STE 101, Forest Hills, NY 11375

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Light Surgical Supply, Inc.'s NPI number?

The NPI number for Light Surgical Supply, Inc. is 1053541359. It was assigned to this organization in the NPPES registry on July 21, 2009.

Where is Light Surgical Supply, Inc. located?

Light Surgical Supply, Inc. is located at 11610 Queens Blvd Ste 101, Forest Hills, NY 11375. The listed phone number is (646) 930-7459.

What is Light Surgical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Light Surgical Supply, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.