MEDICARE: CONSOLIDATED MEDICAL & SURGICAL SUPPLY CO. OF NEW WINDSOR, 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G77361	OTHER	NY	EMPIRE B/C B/S
2	44140	OTHER	NY	MVP
3	51736	OTHER	NY	ABP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134144181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSOLIDATED MEDICAL & SURGICAL SUPPLY CO. OF NEW WINDSOR, LLC

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	317-436-6178
Fax Number	:	855-671-9194

Provider Business Practice Location Address
First Line	:	145 WINDSOR HWY STE 211
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-6286
Country	:	US
Telephone Number	:	845-565-5820
Fax Number	:	845-565-4242

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEVIN GEARHEART
Credential	:
Telephone Number	:	317-813-4210

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/09/2026

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