MEDICARE: GENERAL MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1891628756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	27 SKILLMAN AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5109
Country	:	US
Telephone Number	:	201-820-6217
Fax Number	:

Provider Business Practice Location Address
First Line	:	168 BEACON AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2518
Country	:	US
Telephone Number	:	201-820-6217
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMED YAHIYA
Credential	:
Telephone Number	:	201-820-6217

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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