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STATEWIDE MEDICAL AND SURGICAL SUPPLIES INC.
NPI 1104962547
Durable Medical Equipment & Medical Supplies in Brooklyn, NY

Active since January 30, 2007
9602 AVENUE L, BROOKLYN, NY 11236(718) 257-8810(718) 257-8806 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Statewide Medical And Surgical Supplies Inc. NPPES

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

STATEWIDE MEDICAL AND SURGICAL SUPPLIES INC. (NPI 1104962547) is a healthcare organization registered as a durable medical equipment & medical supplies in Brooklyn, New York and active in the NPI registry since January 2007. The organization lists Mercedes Desormeaux, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1104962547
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTATEWIDE MEDICAL AND SURGICAL SUPPLIES INC.
Location Address9602 AVENUE LBrooklyn, NY 11236-4813
Mailing Address9602 Avenue LBrooklyn, NY 11236-4808 · (718) 257-8810 · Fax (718) 257-8806
Phone(718) 257-8810
Fax(718) 257-8806
Organization SubpartNo
Authorized OfficialMercedes DesormeauxC.e.o · (718) 257-8810
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 7, 2007
✔ NPI 1104962547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NY · 1118484
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.
9602 AVENUE L, Brooklyn, NY 11236
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Other Identifiers 2

Medicaid02291367NY
Medicare NSC4413320001NY

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPULENT PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
9602 AVENUE L
BROOKLYN, NY 11236
Kings County (917) 873-6304
DR. DANIEL DUME-CHARLES M.D.
Family Medicine
9602 AVENUE L
BROOKLYN, NY 11236
Kings County (718) 444-0437
MJC MEDICAL CARE PC
Internal Medicine (Gastroenterology)
9602 AVENUE L
BROOKLYN, NY 11236
Kings County (718) 444-0437
AXIOM MEDICAL PC
General Practice
9602 AVENUE L
BROOKLYN, NY 11236
Kings County (718) 444-0437

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 Statewide Medical And Surgical Supplies Inc.'s NPI number?

The NPI number for Statewide Medical And Surgical Supplies Inc. is 1104962547. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Statewide Medical And Surgical Supplies Inc. located?

Statewide Medical And Surgical Supplies Inc. is located at 9602 Avenue L, Brooklyn, NY 11236. The listed phone number is (718) 257-8810.

What is Statewide Medical And Surgical Supplies 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 Statewide Medical And Surgical Supplies Inc. was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.