MEDICARE: MEDIVA MEDICAL SUPPLIES LLC

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	:	1073460846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIVA MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	531 W 49TH ST APT 3W
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-7150
Country	:	US
Telephone Number	:	732-668-5529
Fax Number	:

Provider Business Practice Location Address
First Line	:	469 E 147TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4181
Country	:	US
Telephone Number	:	732-668-5529
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PETER ABRAHAM
Credential	:
Telephone Number	:	732-668-5529

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1982975983 — NIDHI DOSHI
Practice Location Address:

1453 WHITE PLAINS RD , APT. 2R
BRONX, NY
10462-4181

Practice Phone: 212-221-1544
Practice Fax:

1730451956 — KAMALPREET KAUR
Practice Location Address:

1453 WHITE PLAINS RD APT 2R
BRONX, NY
10462-4181

Practice Phone: 212-221-1544
Practice Fax:

1922362524 — MISS RENEE L BECKETT WOODS MS
Practice Location Address:

4181 LACONIA AVE
BRONX, NY
10466-4912

Practice Phone: 347-821-1651
Practice Fax:

1962159830 — TOTS EARLY LEARNING LLC
Practice Location Address:

4181 LACONIA AVE
BRONX, NY
10466-4912

Practice Phone: 347-821-1651
Practice Fax:

1437005725 — JENNIFER ANN MITCHUM
Practice Location Address:

730 KELLY ST
BRONX, NY
10455-1911

Practice Phone: 718-542-4127
Practice Fax:

1336933688 — OLIVIA S MEDICAL PLLC
Practice Location Address:

369 E 149TH ST
BRONX, NY
10455-3906

Practice Phone: 718-284-7070
Practice Fax:

Directions to “MEDIVA MEDICAL SUPPLIES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.