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

Medica Supply and Source LLC

Organization Customized Equipment (DME) · NPI 1508728858

Medica Supply and Source LLC is a Customized Equipment (DME) in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
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

1 World Trade Ctr Ste 8500
New York, NY 10007-0089
Phone: (916) 340-1975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1508728858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syed Anwar — Ceo · (916) 340-1975
NPI enumeratedNovember 25, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address1 World Trade Ctr Ste 8500, New York, NY 10007-0089

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