MEDICARE: JS 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	1012960	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386672988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JS MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	1023 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1009
Country	:	US
Telephone Number	:	718-431-1157
Fax Number	:	718-431-1160

Provider Business Practice Location Address
First Line	:	1023 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-1009
Country	:	US
Telephone Number	:	718-431-1157
Fax Number	:	718-431-1160

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. RITA SCHWARTZ
Credential	:
Telephone Number	:	718-431-1157

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	11/18/2011

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Directions to “JS MEDICAL SUPPLIES ” Practice Location

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