MEDICARE: FIRST OPTION MEDICAL SUPPLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1619567617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST OPTION MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	5000 SUNNYSIDE AVE STE 101
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-2327
Country	:	US
Telephone Number	:	301-358-6458
Fax Number	:	240-540-4963

Provider Business Practice Location Address
First Line	:	5000 SUNNYSIDE AVE STE 101
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-2327
Country	:	US
Telephone Number	:	301-358-6458
Fax Number	:	240-540-4963

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JENNIFER C MADUBUKO
Credential	:
Telephone Number	:	240-334-1121

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	11/08/2025

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