Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elite Medical Supply Group LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1629623210

Elite Medical Supply Group LLC is a Durable Medical Equipment & Medical Supplies in Brooklyn, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1071 Brighton Beach Ave
Brooklyn, NY 11235-5602
Phone: (347) 414-5700
Fax: (347) 406-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1629623210
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationElite Medical Supply Group LLC
Authorized official Mike Kostylev — President · (347) 414-5700
Other names Elite Medical Supply; Elite Medical Supply
NPI enumeratedAugust 9, 2019
Last updated in NPPESMarch 6, 2022
Certification dateMarch 6, 2022
Mailing address1071 Brighton Beach Ave, Brooklyn, NY 11235-5602

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