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Statewide Medical and Surgical Supplies Inc.

Durable Medical Equipment & Medical Supplies in Brooklyn, NY · enumerated 2007 · authorized official Mercedes Desormeaux, C.E.O.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104962547

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Registry record

Entity type Organization (Type 2)
Legal business name Statewide Medical and Surgical Supplies Inc.
Practice address 9602 Avenue L, Brooklyn, NY, 11236
Phone (718) 257-8810
Fax (718) 257-8806
Enumeration date Jan 30, 2007
Last updated in NPPES Dec 7, 2007

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 1118484 (NY) Primary

Authorized official

Name Mercedes Desormeaux
Title C.E.O
Phone (718) 257-8810

Other identifiers

Identifier Type State Issuer
02291367 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Statewide Medical and Surgical Supplies Inc.?
Statewide Medical and Surgical Supplies Inc. is registered in NPPES as a Durable Medical Equipment & Medical Supplies (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-07.