MEDICARE: CITYMED MEDICAL EQUIPMENT INC

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	:	1578491668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITYMED MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	981 BAY ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	981 BAY ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4903
Country	:	US
Telephone Number	:	347-374-2560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACOB KOSOV
Credential	:
Telephone Number	:	347-374-2560

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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